Study Objective To provide a basic overview of the management of ovarian remnant syndrome by discussing evidence from case series and demonstrating advanced dissection techniques commonly required to surgically treat ovarian remnant syndrome. Design Surgical video with highlighted anatomy and narration. Setting Academic Tertiary Care Hospital. Patients or Participants Patients with a history of bilateral salpingo-oophorectomy found to have a pelvic mass and premenopausal hormone levels consistent with ovarian remnant syndrome. Interventions In this video, we provide an overview of surgical treatment for ovarian remnant syndrome. Ovarian remnant syndrome occurs when ovarian tissue is inadvertently left behind during salpingo-oophorectomy and can result in pain. We review the diagnostic workup for these patients using information from large case series. We then demonstrate advanced surgical dissection techniques required to successfully remove an ovarian remnant using two surgical cases. These techniques focus on safe ureterolysis, retroperitoneal dissection with identification of avascular spaces and their borders, as well as enterolysis. We highlight relevant anatomy to aid visualization of surgical planes. Measurements and Main Results N/A. Conclusion Ovarian remnant syndrome presents a surgical challenge. In order to successfully remove an ovarian remnant, surgeons must have a good understanding of surgical anatomy and advanced dissection techniques. To provide a basic overview of the management of ovarian remnant syndrome by discussing evidence from case series and demonstrating advanced dissection techniques commonly required to surgically treat ovarian remnant syndrome. Surgical video with highlighted anatomy and narration. Academic Tertiary Care Hospital. Patients with a history of bilateral salpingo-oophorectomy found to have a pelvic mass and premenopausal hormone levels consistent with ovarian remnant syndrome. In this video, we provide an overview of surgical treatment for ovarian remnant syndrome. Ovarian remnant syndrome occurs when ovarian tissue is inadvertently left behind during salpingo-oophorectomy and can result in pain. We review the diagnostic workup for these patients using information from large case series. We then demonstrate advanced surgical dissection techniques required to successfully remove an ovarian remnant using two surgical cases. These techniques focus on safe ureterolysis, retroperitoneal dissection with identification of avascular spaces and their borders, as well as enterolysis. We highlight relevant anatomy to aid visualization of surgical planes. N/A. Ovarian remnant syndrome presents a surgical challenge. In order to successfully remove an ovarian remnant, surgeons must have a good understanding of surgical anatomy and advanced dissection techniques.