Objective: To evaluate ovarian cysts detected in patients who had undergone previous hysterectomy and to study the clinical, pathological and surgical characteristics in these patients. Material and Methods: An observational study was conducted in the department of Obstetrics and Gynaecology, Mamata Medical College, Khammam over a period of 3 years on patients who had undergone previous hysterectomy. A detailed history, clinical presentation was taken from patients who had ovarian cysts was included in the study. The previous records, characteristics of ovarian cysts and management were evaluated in these patients. Results: A total of 700 post hysterectomy patients presented to OPD of them 66 patients identified with ovarian cysts were included in the study. Most of them (68%) underwent hysterectomy at the age of 40-50 years; abdominal hysterectomy was common mode of surgery (82%). AUB–L was the major indication for hysterectomy (44%), in 65% cases both the ovaries were preserved, pain abdomen was the commonest symptom patient had presented with (47%). The cysts were analysed with ultrasound and CA-125 levels and managed surgically in 44%, followed in 47% and 9% of them were referred to oncology. Histopathologically epithelial tumors were most common. Conclusion: All the post hysterectomy ovarian cysts should be managed individually based on symptoms, signs and size. Clinical evaluation and necessary investigations are to be done for better management either follow up or surgery. Not all post hysterectomy ovarian cysts need surgery.