 Hi, I am Dr. Rajsekar Sijaka, consultant surgical oncologist and robotic surgeon, Manipal Hospital Jainagara, Bangalore. Ovarian cancer is nothing but a tumor originating from the two ores which are present in any woman. On either side of uterus, there are two ores which if they start growing rapidly, we call it as an ovarian cancer. This is an uncontrolled growth of the ovarian tissue. Unfortunately, the symptoms of ovarian cancer are very vague. Patient will tell there is a vague bloating of the abdomen, there is some uncomfortable sensation in the tummy for a long time, there is heaviness in the abdomen, these are the signs and symptoms which patient will come with. We have very important and simple method that is ultrasound of the abdomen which will tell what is the status of both the ores. Usually the age between 40 to 60 years, if there is any persistent symptom like this for more than 1 to 2 months, definitely we need to get one ultrasound of the abdomen which will tell the status of the ore. The next important is a tumor marker which is CA125, if it is raised, most often it is ovarian cancer. Once we confirm with imaging, then we do further imaging to see the stage of the disease, something called CT scan or PET CT scan to know whether it has spread to the lungs or any other part of the body. Similarly in ovarian cancer up to stage 3 and minimal stage 4 it can be cured. The first important is surgery that is known as cytoreductive surgery, here as much as possible all the tumors which is present in the tummy or body will be removed completely whichever organ is affected for example the colon or the intestine, the momentum, the uterus, the ores and all peritoneal part will be removed during this surgical procedure. The advancement in this treatment are the high pack and intraperitoneal chemotherapy because after surgery sometimes when we consider that the intraperitoneal spread is more we put something called as intraperitoneal chemoport and through that we give chemotherapy within the tummy along with the IV chemotherapy that has got very good results when compared to just IV chemotherapy and the one step further the most advanced is high pack where during surgery itself we give chemotherapy after completion of surgery or completion of removal of the tumor at a heated temperature of 41.5 degree Celsius so that chemotherapy acts better locally on microscopic disease. This is most advanced treatment known as high pack hyperthermic intraperitoneal chemotherapy in case of advanced cases some the other alternative method is P-Pack. So considering these advanced treatment options available even extensive stage 3 diseases can be controlled with this treatment even during stage 4 we give neoadjuvant or advanced stage 3 we give neoadjuvant chemotherapy 3 to 4 cycles bring down the disease burden then we do surgery and after that we complete the remaining cycles of chemotherapy. Many of the patients in stage 3 will do well. One more important thing in the treatment aspect of ovarian cancer is please don't undergo laparoscopic or minimally invasive surgery when tumor is very huge and we know that it is a cancer because if at all the cyst or tumor ruptures into the tummy then it will spread all over and early stage becomes a late stage. So therefore in advanced or bigger size of ovarian tumors which are confirmed cancerous always the treatment option is open surgery not minimally invasive laparoscopic or robotic surgery. So it is only thing when you have this vague symptoms in your tummy persistently for 2 to 3 months please consult your doctor definitely you can be cured.