A general anesthetic is used during oophorectomy and the procedure can be performed in two different ways: laparotomy or laparoscopy. With laparotomy, your surgeon will make a single large incision in your lower abdomen to gain access to your ovaries. Then, your surgeon removes the ovary by separating each ovary from the blood supply and tissue that surrounds it. With a laparoscopy, your surgeon makes three small incisions in your abdomen to insert a small surgical tool and laparoscope (a small, flexible tube with a tiny camera and a light on its end). The surgeon separates each ovary from the blood supply and the surrounding tissue and places it into a pouch. The pouch is then pulled out of your abdomen through the small incision.