Ovarian tumor torsion is one of the common acute abdominal diseases in obstetrics and gynecology. It accounts forapproximately 2. 7% of all surgical acute abdominal diseases. Ovarian tumor torsion refers to the ischemia of the ovary caused by complete or partial rotation of the adnexal. Early diagnosis is crucial for preserving functions of the ovaries and fallopian tubes and preventing severe complications. Precise diagnosis and treatment strategies are directly related to the ovarian function, fertility, and overallquality of life of the patients. This article focuses on an in-depth analysis of the individualized key points in the clinical diagnosis andtreatment of ovarian tumor torsion. It also takes into account the standardized diagnosis and treatment process. It includes the diagnosisand treatment considerations under multi-dimensional individualized factors such as different age stages, fertility needs, tumor nature,and special physiological conditions. Our aim is to provide comprehensive and detailed diagnosis and treatment references for cliniciansand improve the clinical diagnosis and treatment level of ovarian tumor torsion.