Laparoscopic surgery has been increasingly applied to different gynecologic ovaries surgical problems with excellent surgical outcome and rapid recovery. Large ovarian cysts, a relatively common gynecologic problem, pose certain challenges to laparoscopic management. Laparoscopy is a safe technique for managing patients with large ovarian cysts and is associated with low conversion and complication rates. The chance of finding unexpected ovarian cancer varies according to the patients’ selection criteria but is low overall. With proper patient selection, the size of an ovarian cyst should not constitute a contraindication to laparoscopic surgery. Experience in advanced laparoscopic surgery and the availability of a gynecologic oncologist should make the procedure safely applicable to a broader patient population.