Introduction: Huge ovarian cystic lesions are rarely encountered in modern practice due to the marked development in health care services and technology on both the diagnostic and therapeutic levels, in addition to the continuous rise of awareness of women's health issues. Laparoscopic management seems to be the ideal line of intervention.
Case Report: An 18-year-old, virgin female, was presented with abdominal distension. Physical examination and ultrasonography revealed a huge pelvi-abdominal cystic mass. A laparoscopic ovarian cystectomy was performed. A follow up for 12 months and was unremarkable. The technique of the operation as well as tips in such a heroic surgery were described.
Conclusion: Huge ovarian cysts might be successfully and safely treated by laparoscopic excision. There seem to be no size-related limits for laparoscopic intervention for ovarian cysts; however, experience is a crucial factor.