Aim: To understand varied approaches for surgical management of large ovarian cysts to minimize cosmetic, intraoperative, and postoperative complications. Background: In the current era of medical practice, giant ovarian tumors have become a rarity due to increased awareness eventuating in early diagnosis. They cause mechanical pressure symptoms on the gastrointestinal, respiratory, and urinary tract and also cosmetic and postoperative complications related to large unsightly incisions required for surgery. Case description: We describe our experience of five such cases and suggest diverse and successful surgical approaches in the management of voluminous ovarian masses, which include techniques such as laparoscopic excision using a specimen retrieval bag, mini-laparotomy, and laparotomy via a vertical midline or transverse incision with or without intraoperative decompression of the cyst. Clinical significance: Enumerating methods that decrease complications like intraoperative spillage of cyst contents, unsightly scars, and early postoperative recovery in the management of ovarian tumors. Conclusion: Choosing the best route for accessing the cyst and then choosing the best possible way for astute management of ovarian tumors.