For most of the gynecologist Laparoscopic ovarian cystectomy remains a first-line choice for the surgical treatment of endometriotic cysts. Laparoscopy for endometrioma is performed through an umbilical incision and two or three lower abdominal incisions. This video demonstrate laparoscopic surgery for large right sided endometrioma performed for an unmarried girl by Dr R K Mishra at World Laparoscopy Hospital. Large or persistent ovarian cysts, or cysts that are causing symptoms, usually need to be surgically removed. Surgery is also normally recommended if there are concerns that the cyst could be cancerous or could become cancerous.