Ovarian cystectomy is a minimally invasive surgical procedure that uses laparoscopy to remove an ovarian cyst while still preserving the ovary so women can remain fertile. However, not all women are candidates for ovarian cystectomy, especially if the cyst is very large, the ovary is twisted due to the cyst, or malignancy is suspected. In post-menopausal women, removal of the ovary (oophorectomy) is preferred as the risk of malignancy is greater. You are likely not a good candidate for a cystectomy if: You are post-menopausal Cancer is suspected Ovarian cyst is very larg