The same treatment that is used for pseudocysts can be used to treat calcified pseudocysts. Management options available for pancreatic pseudocysts include endoscopic, radiologic (percutaneous), surgical (open or laparoscopic), and expectant treatment.4The cyst can either be resected or treated by internal or external drainage. Choice of treatment option depends on whether the cyst is symptomatic, site of cyst, whether there are complications like infection, rupture, or bleeding, and whether there are coexisting pancreatic pathologic findings that need treatment. Percutaneous external drainage is good for an infected pseudocyst, but it may lead to chronic pancreatocutaneous fistula if there is contact with the pancreatic duct. Endoscopic internal drainage is a relatively new technique and is restricted to selected cases that are accessible by endoscope. It has the advantage of avoiding general anesthesia and abdominal wounds. However, problems like bleeding, inadequate drainage, and stent migration still occasionally occur. Surgery remains the definite treatment for pseudocysts in many cases. It allows resection and internal or external drainage to be carried out as appropriate. Laparoscopic internal drainage has also been described as a way to minimize wound trauma. However, the associated trauma due to surgery remains quite substantial and some patients are too frail or otherwise unfit for surgery and anesthesia.