Ovarian cyst removal - is that done laparoscopically or do you get cut open?

Usually laparoscopic. Most ovarian cystectomys or oophorectomies for benign cysts can and should be performed with minimally invasive surgery. Prior to the surgery, your evaluation should include an ultrasound and blood tests. An open surgery would only be needed if there is a high chance of an ovarian cancer.
Ovarian cysts. Not all ovarian cysts need to removed. Many are functional cysts associated with the menstrual cycle that will resolve spontaneously. If your doctor has determined that this is a cyst that needs removal, it is always better to do this in the most minimally invasive way ie. By laparoscope. Results in less pain, decreased adhesions and quicker recovery.