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A 32-year-old unmarried female on an atypical antipsychotic presented with massive abdominal distension and progressive difficulty in breathing and ambulation. Imaging revealed a giant ovarian mass originating on the right side. A fertility sparing laparotomy was carried out, without complication. Histopathological evaluation revealed a seromucinous cystadenoma. Giant ovarian cysts are seldom encountered in current medical practice secondary to easy availability of imaging modalities and treatment facilities. In spite of their considerable size, such tumors are usually benign and have a good prognosis. Keywords: Fertility sparing laparotomy; giant ovarian cysts; Seromucinous cystadenomas.