The question of whether an ectopic pregnancy must be operated should be viewed in a discriminatory manner. Ectopic pregnancy does not necessarily have to be treated surgically, and some patients can be treated conservatively with medication, but there are guidelines and prerequisites for conservative medication. Then, it is mainly reflected in the following five aspects. The first one is that there is no obvious internal bleeding and the vital signs are stable. Secondly, there is no evidence of tubal pregnancy rupture. Third, the vaginal ultrasound indicates a gestational sac of less than 4 cm, fourth, the human chorionic gonadotropin must be less than 2000 IU/L, and fifth, there are no contraindications to conservative drug treatment. Only if the above five criteria are met, then conservative drug therapy can be used. Of course, conservative drug treatment cannot guarantee 100% success, but its success rate is about 70%, which means that in the process of conservative drug treatment, about 20-30% of people may still need to turn to surgery.