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It is very important to understand that ovarian cysts are usually if they are less than 5 cms in size, first of all, we do not advise surgery very quickly because the treatment is primarily medical. However if they become very large in size or they twist, what is called as torsion ovary or they are causing severe pain during periods, endometriotic cysts , then they do require surgery, but then once the surgery is done, that is not the end of the story. You have to remember to take your medications because these cysts are known to be nasty they are known to come back again. So certain form of medications for few months or down the line after the surgery is advisable to prevent the recurrence of these cysts coming back because obviously one cannot go for a resurgery again and again. So it is important to discuss these points with your doctor once you sit down about the surgery for an ovarian cysts and the future prevention methods also.