Depends on how large the cyst is. If it's under 4 cm I wouldn't worry too much about it. Once it gets over 4, then do the surgery. Cysts can be painful just being there, and if they rupture that is worse. I know, I used to be very prone to them, and have had several surgeries to remove them along with other issues. The surgery for the removal is noninvasive, and usually done with 2-4 small incesions, one in your naval, one at your pubic bone, and 2 in each side (right over your ovaries) I had all 4 of these incesions done. The after care is more uncomfortable then painful, but as with any surgery there is pain. Most women I know who had this done only had pain for a few days tops, then just mild discomfort for about a week. Usually they (myself included) was down for just 2-3 days before we went back to a normal life. Talk to your doc about your concerns and if they are saying do the surgery there is a reason for it. A large cyst can cause your ovary to flip, which if that happens that is a life threatening issue, not to mention if they cyst busts then that can also be life threatening. Most docs wont reccomend the surgery till the cyst is over 4 cm for more then 1 period. Cysts are also a normal part of ovulation. It's when they don't resolve or get too big that they cause issues. Good luck and know your not alone. Many women deal with these things all the time.