This joint publication from major gynecological societies provides formal technical recommendations for the surgical management of ovarian endometriomas in patients of reproductive age. The document bridges a gap in existing literature by shifting focus from general diagnosis to the specific practicalities of operative procedures, such as cystectomy, laser or plasma ablation, and electrocoagulation. Central to these guidelines is the preservation of ovarian reserve and fertility, urging surgeons to balance effective tissue removal with the avoidance of accidental damage to healthy follicles. By detailing precise maneuvers and preoperative planning strategies, the text serves as a clinical roadmap to standardized, high-quality care that minimizes the socioeconomic and physical burden of endometriosis.