Ovarian cysts are one of the most complex gynecologic issues patients and their healthcare providers face. They are incredibly common and can be incredibly scary for patients! The interesting thing about ovarian cysts is that most are benign and there is little to no reason to be frightened. In fact, most times something that is called an “ovarian cyst” on ultrasound is not actually a cyst; instead, it is simple a normal spherical ball of fluid the ovary makes – a follicle containing an egg! In other cases, a cyst is real and needs to be thoroughly evaluated to determine the type of cyst and whether there is a risk of cancer. We understand patients want certainty about the nature of a “cyst” in the ovary and at SUGO, we will use the latest techniques to evaluate the ovary. The International Ovarian Tumour Analysis (IOTA) group has published on easy descriptors, the Simple Rules, and the ADNEX model. The O-RADS system is slowly being adopted but we will use this to help our referring doctors decide what the best course of action is for their patients.