It depends on how big are the ovarian cyst
- bigger the cysts > 4cm usually - if not treated with surgical removal there is complication of cyst getting twisted / rupture inside - which is considered as acute emergency
Site of pain in lower part of abdomen is due to findings of ovarian cyst on MRI
as gall stone pain is more so in upper part of tummy.
Following any abdominal operation - chances of adhesions will increase & that is what has probably happened having said that adhesions can't be diagnosed 100% by clinical examination as best way to diagnose & treat adhesions ( adhesiolysis ) is by laparoscopy
Hope this helps