Thanks for your query.
report indicates that the left sided tube is blocked at its distal end.
There is a cyst in the right ovary, which could be endometriotic cyst, chocolate cyst
, simple water filled cyst, infectious cyst etc.
You definitely need laparoscopic surgery
for better evaluation of both the tubes, and for an attempt at opening up the blocked tube.
The cyst also should be removed at the same sitting.
You can definitely go for surgery after R vac.
After R vac, just avoid conception for atleast 3 months.
All the best