Historically, the ovaries were relocated medially by suturing them to the posterior uterus. However, this still absorbed radiation. Contemporary procedures reposition above the pelvic brim and as lateral as possible. Other various locations have been attempted including base of round ligament, level of lower pole of the kidney, and paracolic cutters

It is important to remember that surgically transposed ovaries are functional ovaries, so they may have cysts in them and undergo hemorrhagic corpus luteal cysts. It is important not to mistake them for metastatic disease.

Often times, the ovaries are marked with surgical clips and bilateral.