Ovarian cysts are a common gynecological disease, often occurring in women aged 30-50. With the continuous improvement of people’s quality of life and the special requirements of patients, the awareness of the protection of the ovaries is also increasing. Laparoscopic ovarian cystectomy can completely strip the cystic tissue and restore the ovarian tissue to normal, for this reason it is gradually replacing the traditional open surgery as an important surgical method for the treatment of ovarian cysts. I. Methods Surgical methods All patients in this group of cases were first anesthetized with general anesthesia to facilitate the next laparoscopic ovarian cystectomy, and according to the nature and size of the cysts, whether the patient has any desire to have children and their age, etc., to decide whether to remove the adnexa or only to peel off the cysts, and then according to the characteristics of the surgery and the condition of the care. Second, preoperative preparation Psychological guidance should be based on the surgical notification form to further understand the actual situation of the clinical patients, and to take targeted communication methods to explain to patients and their families the characteristics of laparoscopic surgery, the role of laparoscopic surgery, as well as the problems that should be noted during the operation, the operation time and the operating room environment, and so on. For patients and their families who are mentally nervous, successful cases should be cited to explain to them the characteristics of laparoscopic surgery, such as short time and fast recovery, so that they can understand the science and safety of the operation, and to ensure that the patient’s family members and their own can build up confidence in the surgical treatment. Careful understanding of the patient’s medical history should be excluded from the contraindication patients, such as severe cardiac insufficiency, acute peritonitis, late pregnancy, abdominal masses, bleeding body or mental abnormality and other patients, can not do laparoscopic surgery on them. Preoperative cardiopulmonary function, coagulation time, blood routine, etc. should be checked, for the abnormal coagulation mechanism should be corrected in time, preoperative calcium should be given or through the vein to give drugs. The skin should be removed from the umbilicus with soapy water and then sterilized with alcohol. In addition, there should be a twelve-hour preoperative fast, a six-hour water fast, warm soapy water enemas in the evening and morning before the operation, and luminal. Atropine intramuscularly. Equipment and instrumentation equipment before surgery mainly contains: monitor, cold light source, carbon dioxide pneumoperitoneum, video camera, irrigation and suction device, fiber-optic camera, etc. Surgical instruments are usually prepared according to the conventional laparoscopic surgery, and at the same time, the fiber-optic guide, pneumoperitoneum tube and lenses should also be disinfected and sterilized. Third, surgical cooperation 1, anesthesia and position of the patient lying flat, general anesthesia to take the head down and feet high position, the operation to go to the skin after disinfection, should lay a sterile sheet. 2, connecting machines and wires, hand-washing nurses to optical fiber, carbon dioxide pneumoperitoneum, camera, electrocoagulation wire end passed to the roving nurse, the roving nurse will connect to the machine, so that the machine is in a normal working and functional state. 3, into the abdomen to cooperate with assisting the doctor with a No. 11 blade in the patient’s umbilicus cut a 1cm arc-shaped incision, with pneumoperitoneum needle to build pneumoperitoneum, to ensure that the intra-abdominal air pressure is maintained for 8KPa-9KPa, and then in the pubic bone on the left and right side of the use of and the umbilical incision of the same way, respectively, to cut the same way to cut the umbilical incision of 0.5cm and 1cm length of the two incisions. The umbilical incision is placed for the lens, and the remaining two are placed for the operating instruments. 4, cystectomy operator’s left hand to take the non-invasive grasp gently clip the ovarian wall, the right hand holding the electrocoagulation stripping hook to separate the adherent tissue around the electrocoagulation. The hand-washing nurse should place the instruments such as the grasping hook, scissors and electrocoagulation hook in an orderly manner on the instrument table, and pass them to the operator accurately and quickly according to the operator’s habits and the surgical process. Postoperative complications care ① Abdominal distension: the residual carbon dioxide during the operation inhibits the normal peristalsis of the patient’s stomach and intestines in the postoperative period, which usually does not require special measures. Encourage the patient to do more bed activities or go down to the floor early, both of which are favorable to gastrointestinal peristalsis. If the patient has not defecated for a long time, the problem of abdominal distension is more serious, medical personnel can promote intestinal peristalsis and excretion through intramuscular injection of neostigmine or enema. ② Intra-abdominal hemorrhage: the patient’s vital characteristics should be carefully observed after the operation and low-flow oxygen inhalation should be carried out; the puncture hole should be carefully observed whether there is any blood seepage phenomenon, and effective hemostatic measures should be taken in time. IV.CONCLUSION Compared with traditional open surgery, laparoscopic ovarian cystectomy has the advantages of small damage, small wound and fast compounding, low rate of postoperative complications, low degree of pelvic adhesion, and so on, and thus it has become a major method of treating ovarian cysts. In addition, quality postoperative care can effectively improve the success rate of surgery, reduce and avoid postoperative complications, and is also a reliable guarantee for smooth recovery after laparoscopic ovarian cystectomy.