Ovarian fibromas are the most common benign solid tumor of the ovary and usually are large and asymptomatic. It can mimic several conditions hence it can often be misdiagnosed pre-operatively. In this case the pre-operative diagnosis was bilateral ovarian tumor with endometrial hyperplasia. The final diagnosis was a torsion left ovarian fibroma with an area of hemorrhagic infarction and a benign endometrial polyp. The benefit of a multidisciplinary team approach and the challenges faced during the peri-operative period are discussed.