Giant ovarian cysts are a rare and mostly benign finding. The use of the laparoscopic approach versus the open approach for management is still highly controversial and drainage prior to pouch resection has only been reported in a few articles. We present in the following report an 18-year-old woman who attended the outpatient consulting room for diffuse, mild, sporadic abdominal pain associated with progressive abdominal distention for 1 year. In the past 3 months she reported nausea, early fullness, and constipation. Thus, a minimally invasive procedure was performed through an incision and subsequent aspiration by direct visualization with subsequent extraction of the sac by laparoscopy with three ports with favorable results and evolution. When there are no clinical signs of malignancy and tumor markers and images indicate signs of benignity, the laparoscopic approach becomes a promising option in the surgical management of these patients, providing the patient with a favorable cosmetic recovery accompanied by shorter hospital stays and without complications.