Ovarian chocolate cyst puncture is meaningless, women have surgical indications, or laparoscopy is more suitable. If the ovarian chocolate cyst is punctured and the wall of the cyst is not peeled out, it will recur soon and the cyst problem will not be solved. Laparoscopic surgery is specific as follows: 1. The patient does not have reproductive requirements, and the diameter of the coelomic cyst has already reached more than 4cm, laparoscopy is needed. 2. Coelomic cysts patients who have reproductive requirements should be assessed for the ovarian reserve function before the surgery, and if the ovarian reserve function is good, and the cysts are large, in order to prevent rupture of the cysts and malignant transformation If the ovarian reserve function is good and the cyst is large, surgery is needed to prevent rupture and malignant transformation. If the ovarian reserve function is low, do not do surgery, because it will further aggravate the ovarian reserve function is reduced, you can directly do IVF to get pregnant, and then deal with coeliac cysts later.