ADOLESCENT AND PEDIATRIC GYNECOLOGY: Edited by Geri HewittManagement of benign ovarian lesions in girls: a trend toward fewer oophorectomiesGonzalez, Dani O.a; Minneci, Peter C.a,b; Deans, Katherine J.a,bAuthor Information aCenter for Surgical Outcomes Research, The Research Institute bDepartment of Pediatric Surgery, Nationwide Children's Hospital, Columbus, Ohio, USA Correspondence to Katherine J. Deans, MD, MHSc, Associate Professor of Surgery, Co-Director, Center for Surgical Outcomes Research, The Research Institute, Nationwide Children's Hospital, 700 Children's Drive, FB 3A.3, Columbus, OH 43205, USA. Tel: +1 614 722 3066; fax: +1 614 722 6980; e-mail: Katherine.Deans@nationwidechildrens.org Current Opinion in Obstetrics and Gynecology: October 2017 - Volume 29 - Issue 5 - p 289-294 doi: 10.1097/GCO.0000000000000400 Buy Metrics Abstract Purpose of review The management of benign ovarian lesions in girls is currently a controversial topic in the pediatric surgical literature. The purpose of this review is to highlight the epidemiology of benign ovarian masses, outline preoperative risk stratification strategies, review the indications and importance of ovary-sparing surgery (OSS), and discuss the impact of management algorithms. Recent findings Efforts across the United States and Canada to promote OSS have improved awareness about the role and safety of OSS for the management of benign ovarian masses in pediatric and adolescent girls. Preoperative risk stratification techniques by a multidisciplinary team can improve the preoperative identification of lesions with a high likelihood of benign disease. Summary Avoiding oophorectomy may be associated with a number of benefits to individual patients and the overall population. The implementation of a management algorithm to guide the treatment of pediatric and adolescent girls with ovarian lesions can reduce the rate of inappropriate oophorectomies. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.