Surgery is preferred for the treatment of chocolate cysts, but the specific means of treatment to be used will depend on the patient’s specific condition and should be carried out under the guidance of the doctor. Chocolate cysts are ovarian chocolate cysts, a type of endometriosis, which are named after the ectopic endometrium that bleeds repeatedly in the ovarian capsule, forming a coffee-colored viscous liquid that resembles chocolate. Surgery is the preferred method of treatment, and laparoscopy is currently recommended. The types of surgery include fertility preserving surgery, ovary preserving surgery, and radical surgery. The exact type of treatment should be evaluated by a doctor.