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Introduction An auto amputation of ovarian cyst is a rare entity and developed due to infarction or necrosis of adnexal cyst, majority were identified incidentally during surgery. Case details: A 28 years Para 1 living 1 presented with pain abdomen since one month and regular menstrual cycles. Per abdomen examination was normal and bimanual vaginal examination- uterus normal size, anteverted, fornices free, non tender. Ca 125-18.9U/ml. Pelvis ultrasound ?right adnexal simple cyst measuring 5.6x5.3x5.3cm, of volume 82cc with peripheral intact vascularity. MRI pelvis -well-defined thick walled unilocular cyst in right adnexa likely complex hemorrhagic Para ovarian cyst or endometriotic cyst-5.4x4.9x5.3cm. Performed laparoscopic surgery- intra operative findings ? uterus, bilateral tubes and ovaries were normal. A mass of size 4.0x4.0 cm was found attached to the peritoneum at the right supero- lateral wall of the urinary bladder and covered by omental adhesions. Adhesions were released and mass was separated from surrounding tissues by gentle dissection. Mass removed through end bag and histopathology was suggestive of ovarian torsion. Conclusion: Laparoscopy should be used for diagnosis and management of ovarian pathology to overcome the diagnostic dilemmas in ovarian diseases and to treat its rarest presentation like auto amputation of ovarian cyst.