Aim: The study was designed to assess the laparoscopic management of ovarian cysts at advanced gestational ages in emergent situations. Materials and methods: In the department of obstetrics and gynaecology, a prospective study was conducted on a sample of pregnant women who required emergency ovarian operations and underwent laparoscopy. The investigation included a total of 50 pregnant women in their first and second trimesters. Gravida, parity, medical history, main complaints, gestational age, cyst size and characteristics (e.g., unilateral or bilateral, pathological type), operation duration and changes in haemoglobin (Hb) levels before and after the operation were all recorded as patient data. Additionally, all patients underwent preoperative ultrasonographic examinations prior to their operations. The Chi-square test and the t-test were employed to analyse all qualitative and quantitative variables, respectively. P < 0.05 was used to determine the significance level. Results : The average age of the study participants was 35 years, with a standard deviation of 4.6 years. Parity 1 was present in the majority of patients (44%). The mean body mass index of the preponderance of patients (50%) was within the 25–30 range. The gestational age at the time of surgery was 18.4 weeks. The majority of patients (74%) were in their second trimester of pregnancy. A cyst in the ovary was inadvertently observed by the majority of patients (58%) during pregnancy, and they intended to undergo elective surgery during the course of their pregnancy. All of the women had given birth after 38.3 weeks of gestation. The average duration of the operation was 46 minutes. Based on the intraoperative findings, the average cyst size was 8.2 cm. The most frequently diagnosed pathology was mature teratoma (26%), followed by haemorrhagic cysts (22%), endometriomas, and luteal cysts (16%). In 12% of patients, total oophorectomy was performed further due to the presence of multilocular ovarian cysts, minor projections of cyst walls, and a high likelihood of malignancy. Ovarian torsion and cyst rupture were diagnosed in an additional 46% and 34% of patients, respectively. Additionally, 10% of the women required tocolytic therapy. Conclusion: The study's results confirmed that laparoscopic surgery can be performed safely and effortlessly during pregnancy, with no maternal or neonatal complications, even in emergency situations such as ruptured ovarian cysts or ovarian torsions.