A 2o year female from ujjain came with complain of pain in upper abdomen on left side, low appetite and mass in abdomen. MRI of abdomen showed cystic tumor/ cystic cancer of distal pancreas. Patient operated by DR VINEET GAUTAM, SENIOR CANCER SURGEON/GASTROSURGEON at choithram Hospital Indore. Patient underwent distal pancreaticosplenectomy which is very major surgery of abdomen. Surgery went well and patient discharged in one week and went home. Biopsy of tutor was mutinous cystic tumor of pancreas.