Many challenges are faced by gynecologists on deciding upon the best surgical management of ovarian mature cystic teratomas occurring in premenopausal women. There is uncertainty, lack of consensus, and variation in surgical practices. The current article analyzes various surgical approaches and techniques used to treat these cysts.

Adnexal masses are commonly encountered in gynecologic practice and often present both diagnostic and management dilemmas. Ovarian mature cystic teratomas, also called dermoid cysts, are the most common germ cell tumor, accounting for up to 70% of benign ovarian masses in the reproductive years and 20% in postmenopausal women Immature cystic teratomas are rare (<3%) and usually occur in the postmenopausal age group. In asymptomatic women, whether premenopausal or postmenopausal, with pelvic masses including ovarian mature cystic teratoma, transvaginal…