Ovarian Cyst Removal by laparotomy

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I've been in horrendous pain the last week and have been to the OB, the ER twice and the PCP. I got a ultrasound and it was determined I had a 4.9cm cyst on my left ovary, Tuesday no results at the time so I went to the ER and was diagnosed with a UTI, still in pain. Different pain hit Wednesday night and I wound up at the PCp for suspected appendicitis who then sent me to the ER. That doctor said no UTI and no appendicitis as the scan came back negative, but instead it could be the cyst. Now I'm on some strong pain meds and hallucinating and have confusion. I'm seeing the OB on tuesday for official results and what they may do about the cyst.

My question is, I want the thing removed asap, I've had it since October of last year. Do you think my OB will allow me to have surgery to take it out since I'm in pain with it?

I'm tired of being in pain and just want it removed.

I'm overweight though and my mom is too, she had to have a c section to have a hysterectomy a few years back. She thinks they might have to do the same for me as it's in my ovary and I'm so overweight.

What do you all think? Any advice and what to expect would be great. Thanks.

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