Chocolate cysts can’t be eliminated by traditional Chinese medicine, and need to be treated with surgical procedures, etc. The specific efficacy varies from person to person. Chocolate cysts are typical lesions of ovarian endometriosis, which are cysts formed by the growth of ectopic endometrium in the ovarian cortex, with stale blood collecting inside. The main purpose of herbal toning and medication etc. is to inhibit ovarian function and stop the development of endometriosis, mainly for patients with severe symptoms of menstrual pain and without ovarian cyst formation. Surgical treatment is required for most chocolate cysts. The main types of surgical treatment are fertility preservation surgery, ovarian function preservation surgery and radical surgery. Patients with chocolate cysts are advised to consult a doctor if they feel unwell, and to choose the appropriate treatment plan according to their condition.