Introduction: Ectopic Pregnancy is a life threatening emergency where diagnosis is often missed at the rst contact. The present study emphasis more on clinical presentation, risk factors, diagnostic methods, medical and surgical treatment modalities and its associated complications. Therefore elucidating the importance of early diagnosis in the management of ectopic pregnancy. : A retrospectiveMaterials and methods analysis done at Government Dharmapuri medical College for the period of three years from may 2019 to may 22. All the patients diagnosed with ectopic pregnancy are included in the study and details regarding the mode of presentation, risk factors,methods of diagnosis, treatment modalities were taken from hospital records. Total of 113 patients of ectopic pregnancy were present to hospital during the study period. TheResult: maximum number of Ectopic present in the age group of 26-30yrs, most common mode of presentation is amenorrhea which is 79.6%and then pain abdomen 63.7%.and 3.5% patient present in shock. Surgery was the primary modality of treatment in this study 95.6%.only 4.4%were treated by conservative approach by Methotrexate. As the incidence of ectopic is on the raise , screening the high risk cases takes priority in earlyConclusion: diagnosis of ectopic gestation before it's rupture .The conservative management By Methotrexate is promisingin preventing the emergency situations necessitating surgical procedure and its consequences .