Ovarian cancer (OC) is the most lethal gynecological cancer worldwide. Complete cytoreduction with platinum based chemotherapy is the standard of care. Despite this, many patients recur predominantly in the peritoneal cavity. With advent of HIPEC, 5-yr survival has improved significantly. PCI is a major determinant for survival. Surgical PCI as advocated by Paul Sugarbaker provides a systematic and region wise assessment of disease. One of the indications for Neo-adjuvant chemotherapy is high PCI especially bulky upper abdomen disease including the sub diaphragmatic region and pleural...