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SCARLESS EXCISION OF OVARIAN TUMOR Introduction: 97% ovarian masses are benign, usually slow growing & only rarely become malignant. Most are cystic and are asymptomatic & are incidental findings on imaging. However, large cystadenomas cause pressure symptoms and sometimes pain. Big ovarian tumors require surgery. Surgery plans are to be individualized based on the nature, size & accessibility of the ovarian mass. We present a case series of removal of large ovarian tumors through the vagina after vaginal hysterectomy by puncturing the cyst to aspirate the contents followed by vaginal removal of cyst wall. Aims and objectives: To study the surgical outcome in removal of large ovarian tumors through the vagina Material and methods: We present a case series of large ovarian tumors that were removed vaginally without an abdominal scar and the surgical challenges faced Results: Advantages of minimal intra-operative blood loss, less operative time, minimal intraperitoneal spillage of cystic contents, minimal intra-operative complications, being cosmetically better acceptable, early post-operative recovery, minimal hospital stay and patient satisfaction. It is a safe and feasible procedure in appropriately selected cases. However, it is of utmost necessity to rule out possibility of malignancies pre-operatively by tumor markers and appropriate imaging by USG with doppler and CECT. Frozen section to also be sent for confirmation. There were no injuries to ureters/ bladder/ bowel. Intraperitoneal spillage of cyst contents is minimized because of direct puncture of the ovarian cyst wall. Vaginal route offers an excellent alternative to laparoscopic surgery and eliminates, in most cases, the need for invasive laparotomy Conclusion: Since most ovarian tumors are benign and cystic, after a work-up and confirmation of benign etiology, the trial of transvaginal approach for removal of ovarian masses should be considered, particularly by experienced vaginal surgeons as it has a remarkable advantage. Removing uterus from vagina, even non-descent and bigger uteri is commonly done nowadays. We can also remove adnexa with experience. That includes cystic benign tumors of any size. Prior ruling out of malignancy by clinical, USG, Doppler studies and CT/MRI and confirmation with Frozen Section is absolutely important. Technically with experience, the vaginal route is the least invasive and most economical route and should be the gynecological surgeon's first choice.