Improvement in imaging techniques and a trend towards routine antenatal ultrasound scanning has increased the frequency of intrauterine diagnosis of many congenital defects and malformations. A cystic mass in the female fetus could be an intestinal duplication, hydronephrosis, meconium cyst, mesenteric, urachal, omental, choledochal or ovarian cyst, or only a bladder distension. Lymphangiomas, mesenteric cysts and omental cysts may be the most difficult to distinguish from an ovarian cyst, and early surgery is indicated if the diagnosis is not clear and neonate shows some signs of complica-tions. Laparoscopy can be used to extend our diagnostic capabilities, and its application continues to evolve with increasing experience among pediatric surgeons, and availability of smaller sized instruments. On laparoscopy, this child was found to have a huge ovarian cyst with nearly 270-degree torsion and a congested adenexa. Larger cysts carry a greater risk of torsion with subsequent loss of the ovary, and hence a surgical intervention is indicated. In the present case, the left gonad was not macroscopically visible. However, we restricted the surgery to complete removal of the cyst as reports show presence of ovarian tissue even if no ovary is macroscopically visible(1). Laparoscopy avoids the disadvantages of large scars, adhesion formation, even gonadal loss in cases of instant surgery(2) and also danger of life-threatening complications when the approach is too conservative(3), Laparoscopy is well tolerated not only by infants, but also by neonates. It demands small insufflations pressure (not above 8 mm Hg), with instant adjustments made according to the situation encountered. To the best knowledge of the authors, this neonate operated at 22 hours of life is the youngest on whom a complete intraperitoneal ovarian cystectomy has been done laparoscopically.