Background: In gynecological practice, ovarian cystic tumors are prevalent. Pathologists may have a hard time determining the cause of certain symptoms. To better understand ovarian cystic tumor's clinical and histological characteristics, this study was conducted. Methods: Between June 2021 and July 2022, 120 women admitted in Department of Gynecology and Obstetrics, Shaheed Ziaur Rahman Medical College and Hospital, Bogura in Bangladesh were recruited purposively for a cross sectional study as per inclusion criteria. The study included all individuals who had ovarian cysts that had been detected clinically and radiologically, with histological confirmation. A variety of information was examined, including the subjects' age, clinical symptoms, parity, laterality, and histopathology. SPSS 26 was used to analyze the data. Results: The data came from 120 women who had ovarian cysts removed over the time frame of the research. Pain in the lower abdomen was the most prevalent clinical symptom. In all, there were 10 (8.5 percent) instances of malignancy, 4 (3.5 percent) cases that were intermediate grade or border line, and 104 (86.6 percent) cases that were benign in nature. There were 4% cases of ovarian metastases. The most prevalent histological diagnosis was mature cystic teratoma (27 percent). Serous cystadenoma was the second most prevalent kind of cyst (20 percent). Conclusion: The histology of ovarian lesions is quite diverse. If a tough case requires immunohistochemistry, the diagnosis may be determined on the basis of regular gross and histological examinations.