This Video is Level 02: This type of procedure should be performed under guided supervision. The surgeon should be assisted to become acquainted with operations involving advanced laparoscopic instruments and have further understanding of the complexities of all possible applications and dangers of electrical energy. Case: The patient is a 22-year-old woman with a ten-day history of persistent low abdominal pain. An MRI showed an 11-cm ovarian cyst with reduced vascularity. The diagnosis of ovarian torsion was made and she consented to an operative laparoscopy.