There is no point in puncturing ovarian chocolate cysts, women have indications for surgery, or laparoscopy is more suitable. If the ovarian chocolate cyst is punctured and the cyst wall is not peeled out, it will soon recur and will not solve the cyst problem. laparoscopic surgery is specific as follows: 1, the patient does not have fertility requirements, and laparoscopy is needed when the diameter of the coarctation cyst has reached more than 4cm. 2, the patient with coarctation cyst has fertility requirements, and the ovarian reserve function should be evaluated before surgery, if the ovarian reserve function is good and the cyst is large, in order to prevent cyst rupture and malignant change If the ovarian reserve function is good and the cyst is large, in order to prevent cyst rupture and malignant transformation, surgical treatment is needed. If the ovarian reserve function is low, don’t do surgery because it will further aggravate the ovarian reserve function reduction, you can do IVF directly to get pregnant and then deal with the coeliac problem afterwards.