Introduction/Background There is no standardised approach to the management of advanced ovarian cancer. The choice of treatment varies depending on centre, surgeon and patient related factors. Non-uniformity in management reflects in the different survival rates of this entity across centres.This is especially important in developing countries where majority of population is not covered by insurance. There is no national data which gives an insight into the practice patterns and hence this survey was conducted to assess the practice patterns of management of advanced ovarian cancer by Gynecological oncologists practising in various regions across the country.

Methodology A questionnaire has been sent to practicing gynaecological oncologists across India. Questionnaire was designed to reflect the common practices in the treatment of advanced ovarian cancers. Survey was conducted through social media platforms and data was on an anonymous basis.

Results Preliminary data shows a response rate of 72%. It was observed that there are disparities in treatment between surgeons working in the government sector compared to the private sector. Most of the surgeons worked on centres doing more than 40 surgeries per year in advanced ovarian cancer. Criteria to decide Upfront debulking and Interval debulking also differed, Laparoscopic based scoring was being used by only 51.2% of respondents. The preferred surgery was interval debulking surgery by majority of surgeons(75.3%). HIPEC was used in 15.6% patients in the private hospitals versus 8.8% patients in the government hospitals. BRCA testing was routinely advised by 45.3% of physicians. Bevacizumab & PARP inhibitors we’re used by only 35.2% & 8.1% of physicians.

Conclusion According to our study, there are minor variations with respect ot the different practice patterns but they are disparate especially when comparing the physicians between government and private sector. However, more number of participants would help in generalising the results.