BSO is recommended in several situations, such as: - Cancer Prevention: For women with a high genetic risk of ovarian or breast cancer, such as those with BRCA1 or BRCA2 mutations. - Treatment of Ovarian Cancer: To remove cancerous tissues and to prevent the spread of cancer. - Severe Endometriosis: When other treatments have failed to relieve pain and symptoms. - Pelvic Inflammatory Disease (PID): In cases of severe or recurrent PID that do not respond to other treatments. - Ovarian Torsion: To prevent further complications from twisted ovaries.