Ectopic pregnancy occurs when the fetus implants outside the uterus or to an abnormal portion of the uterus. It is the result of flaw in the reproductive physiology that allows the fetus to implant outside the endometrial cavity. This leads to the death of the fetus. Ectopic pregnancy is the main cause of maternal death in early pregnancy. Nearly 0.25-2.0% of pregnancies are ectopic.0.91% of pregnant women were reported with ectopic pregnancy in a study done at tertiary care hospital in South India. Medication: If the fallopian tube has not ruptured medication alone can help the situation. Methotrexate, a folic acid antagonist which inhibits DNA synthesis and cell replication is used. The mechanism of action is to kill cytotrophoblast cell that dividing rapidly at the fallopian tube which then the body spontaneously reabsorbs. Laparoscopy is done for pregnant women with extensive bleeding, or poor visualization of the pelvis. Women with the history of ectopic pregnancy should have an early diagnosis. Women with any infections or pelvic inflammatory diseases should get regular checkups. Laparoscopy is the gold standard surgical treatment for ectopic pregnancy in those women with ruptured fallopian tube.