Patient presents with a vaginal cyst, possibly a Gartner's duct cyst, inclusion cyst, Bartholin's gland cyst, or epidermal inclusion cyst.  Chief complaint includes  vaginal lump, vaginal bulge,  vaginal discomfort, dyspareunia, or asymptomatic discovery during routine pelvic examination.  Physical exam reveals a palpable cystic lesion on the vaginal wall, size and location documented.  Differential diagnoses include vaginal abscess, urethral diverticulum, and other vaginal masses.  Ultrasound imaging of the pelvis may be performed for further evaluation to confirm the diagnosis and assess the characteristics of the cyst including size, location, and complexity.  Management plan includes observation for asymptomatic and small cysts.  Symptomatic cysts causing pain, pressure, or dyspareunia may require surgical excision or aspiration.  Patient education provided on vaginal cyst symptoms, causes, treatment options, and possible complications such as infection or recurrence.  Follow-up scheduled as needed to monitor cyst size and resolution of symptoms.  ICD-10 code N89.8 other specified noninflammatory disorders of vagina and CPT codes for procedures performed, if applicable, such as incision and drainage or excision, will be documented separately.