It would have helped if you had told me about the stage of your cancer in 2010 at initial diagnosis. Ovarian cancer is a bad disease and is known to recur. The good thing is that you have had an almost 3 year of disease-free interval which tells me that your cancer was responsive to the chemotherapy (this is called platinum sensitive disease, platinum being the active ingredient of the chemotherapy) and has a much better prognosis than platinum-resistant disease. Hence you should immediately start on the same chemotherapy as before without delay (Carboplatin + Paclitaxel). Any delay is going to allow your tumor to grow and spread to other parts. Biopsy is a simple procedure and can be done at any cancer hospital as an OPD or daycare procedure. So that is no reason to delay your treatment. I dont think it is anybody s fault, just the nature of this cancer and its tendency to recur. You should start chemotherapy immediately and if after chemotherapy there is a residual lesion that can be surgically removed, then you should undergo subsequent surgery as well.