A modified technique that requires fewer specialized instruments for laparoscopic cystectomy is demonstrated. Twelve consecutive cases of laparoscopic management of the ovarian tumors are reported. Patients were not included if there was any suspicion of malignancy. Laparoscopic management of the ovarian tumors included ovarian cyst (N = 8) and endometrioma (N = 4). No intraoperative or postoperative complications occurred. The average hospital stay was 2.6 days. The whole tumor was removed through an infraumbilical incision. Laparoscopic cystectomy is a cost effective and safe procedure.