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To discuss ovarian preserving laparoscopic management of primary ovarian leiomyoma. Case-report highlighting pre-operative evaluation, imaging, surgical management, and pathologic diagnosis. Academic hospital. One patient with adnexal mass who underwent minimally invasive ovarian-preserving management of primary ovarian leiomyoma. Laparoscopic resection of primary ovarian leiomyoma. Demonstration of ovarian preserving management of ovarian leiomyoma. This case report highlights the feasibility of laparoscopic ovarian conserving management of primary ovarian leiomyoma following the appropriate clinical workup and patient counseling, with consideration for the patient's age and desire for future fertility. [ABSTRACT FROM AUTHOR]