When the blastocyst implants anywhere other than the uterus, it is defined as an ectopic or extrauterine pregnancy. Improved diagnosis with radioimmunoassay of beta hCG and high resolution transvaginal sonography have reduced the risk of mortality and morbidity significantly (Hoffman et al, 2012a). Signs and symptoms may include normal pregnancy signs (breast tenderness, nausea, urinary frequency) and shoulder pain from subdiaphragmatic blood irritating the phrenic nerve during inspiration or syncope and dizziness from hypovolemia due to bleeding. Prior to rupture, physical findings may be minimal to absent. Treatment consists of laparoscopic salpingostomy or salpingectomy depending on the state of the contralateral fallopian tube and desire to preserve fertility. Recurrent ectopic pregnancies are possible.