Design: We searched all major databases for relative studies comparing gynecologic surgeons and pediatric or general surgeons. We performed a systematic review of all available information.

Setting: Pediatric and adolescent patients suffering from ovarian lesions.

Patients or Participants: Pediatric and adolescent patients suffering from ovarian lesions.

Interventions: Surgical intervention by gynecologic surgeons vs. pediatric or general surgeons.

Measurements and Main Results: We found that the gynecologic surgeons had lower incidences of complications and recurrence rates than the pediatric surgeons. Additionally, the gynecologic surgeons had a larger number of ovarian-sparing surgeries and fewer laparoscopies converted to laparotomies. Also, hospital stay was shorter with gynecologic surgeons. The incidence of accidental tumor spillage was also higher among pediatric and general surgeons than it was with the gynecologic surgeons.

Conclusion: Gynecologic surgeons are superior to pediatric surgeons surgical management of pediatric and adolescent female patients with ovarian masses.