Background: Ovarian tumors are the second most cause of cancer-related mortality in women, with a wide range of histological diagnoses. It is responsible for 6% of all malignancies. Despite the fact that it is one of the curable tumors due to its susceptibility to anticancer medicines, it seldom causes symptoms until the disease has progressed widely. The goal of our research is to establish the type of various ovarian tumors as well as the frequency and distribution of various neoplastic lesions in the past. Methods: 201 ovarian tumors were retrospectively collected from 8691 gynecology cases seen in the outpatient clinic at the maternity and children’s hospital in Al Madinah Al Munawara, Saudi Arabia [from January 2015 to January 2019] to determine the frequency of different histological patterns of ovarian tumors in our hospital. Results: The majority of ovarian tumor cases, 186 cases, (92.54 percent) were benign, although 13 cases (6.47 percent) were malignant, and the other two cases were borderline (1%). Epithelial tumors were the most prevalent histological pattern seen in the investigation (69.8 percent). Serous cyst adenoma and teratoma were the most prevalent benign tumors, whereas serous cystadenocarcinoma and mucinous cystadenocarcinoma were the most common malignant tumors. Conclusion: Epithelial tumors are the most prevalent ovarian tumors in our study. Germ cell tumors were in second place, followed by epithelial ovarian tumors, which are more prevalent in adults and adolescents. Patients with malignant ovarian tumors frequently come in later stages of the disease, hence late reporting is prevalent.