Ovarian Cystectomy Ovarian cysts are fluid-filled sacs that can develop on the surface of the ovaries. They are very common, and many do not cause any symptoms. However, some cysts can rupture or cause pain. Your doctor may also want to check growths on your ovarians for cancer. To get a better look at ovarian cysts and to determine whether they are cancerous or require removal, your doctor will access the ovaries laparascopically (through tiny incisions using a camera) or with a larger abdominal incision (laparotomy). If the cysts require removal, the doctor will perform an ovarian cystectomy, surgically removing the cysts.