<h3>Study Objective</h3> To demonstrate our technique for laparoscopic salpingostomy when indicated for surgical management of tubal ectopic pregnancy and expand access to this fertility sparing option. <h3>Design</h3> Case series presenting a stepwise narrated demonstration of salpingostomy for tubal ectopic pregnancy. <h3>Setting</h3> Referral Center in Upstate NY. <h3>Patients or Participants</h3> Case series of two patients with tubal ectopic pregnancy who required surgical management due to hemoperitoneum and elected to proceed with salpingostomy. <h3>Interventions</h3> Both patients presented to the emergency room and were found to have peritoneal signs on exam with ultrasound suggestive of ruptured ectopic pregnancy. On laparoscopy, hemoperitoneum was evacuated and diagnosis was confirmed. Using a monopolar hook, a salpingostomy was created on the lateral aspect of the fallopian tube. Gentle traction on pregnancy tissue and hydrodissection were utilized to displace the ectopic and ensure evacuation of all tissue while maintaining integrity of the tubal lumen. The salpingostomy was repaired in a single running closure. <h3>Measurements and Main Results</h3> Successful laparoscopic management of tubal ectopic pregnancy with preservation of the fallopian tube. Patients were discharged home on postoperative day 0. On follow up, beta-hCG trended down to zero and pathology was consistent with ectopic pregnancy. <h3>Conclusion</h3> Salpingostomy for tubal ectopic pregnancy provides a means of preserving the fallopian tube when surgical management of tubal ectopic pregnancy is required. Salpingostomy may increase the chance of subsequent IUP at the expense of an increased risk of future ectopic and is of particular importance for a patient with a damaged contralateral fallopian tube where salpingectomy would result in sterilization.