Removal of an ovarian cyst usually does not affect pregnancy. The effects of ovarian surgery on fertility have to be viewed from two opposing perspectives: 1. Ovarian surgery, in fact, any surgery performed in the pelvic and abdominal cavities, may have unfavorable effects on fertility, for example, it may cause infertility secondary to pelvic inflammatory disease. Ovarian scarring from surgery on the ovaries themselves is also detrimental to ovarian ovulation. The current use of laparoscopy for the vast majority of ovarian cyst surgeries reduces the pelvic interference of open surgery, but the electrical instruments used are significantly more damaging to the ovaries. Experienced surgeons will take special care to minimize electrical damage.2. Removal of ovarian cysts creates a more favorable condition for fertility, and if ovarian cysts reach a certain size that can interfere with ovulation, the situation will be significantly improved after surgery. Some cysts, especially chocolate cysts, can lead to adhesions in the pelvis, and surgical release of pelvic adhesions can significantly improve fertility. So all in all, with a strict understanding of the indications for surgery, ovarian cyst surgery usually does not affect pregnancy, and in most cases improves the conditions for fertility.