An ovarian cyst 10 years after menopause does not necessarily require open surgery. If the cyst is small and asymptomatic, no treatment is needed. If the cyst is large and there is a risk of malignancy, surgery is required. Ovarian cysts are a common gynecological disease in clinical practice, and women who have had ovarian cysts for 10 years after menopause do not necessarily need to undergo open heart surgery. The treatment plan for this disease needs to be determined according to the situation, and there is obvious individual variability, which cannot be generalized. If a woman who has been menopausal for 10 years has a small ovarian cyst and is asymptomatic, treatment is generally not necessary and the cyst may disappear on its own with close observation. However, for patients with large or persistently enlarged ovarian cysts and the risk of malignant changes, timely surgical treatment is needed, and common surgical methods include ovarian cyst removal, ovariectomy of the affected side, and so on. To summarize, when a woman who has been menopausal for 10 years is found to have ovarian cysts, she needs to go to the hospital in time, let the doctor decide whether she needs to take treatment measures, and strengthen the management of daily life, so as to avoid delaying her condition.