My mother 38 yr old had underwent operation for fibroid uterus with serous cystadenoma rt ovary 10yrs back by a general surgeon and she was doing well for almost 6yrs. But then she had pain abdomen vague pain. We consulted gynecologist and she referred her to oncologist suspecting a malignancy. She was diagnosed as stage 3c disseminated ovarian carcinoma in the year 2013. She had gone through 6 cycles of paclitaxel and cisplatin. 6 cycles of doxorubicin still ca125 remained high, refractory to treatment then changed to etoposide. My doubt is does there is any negligence from the side of general surgeon who had done surgery in 2006. As he said that he is not able to respect some tissue so he left it.