Scar pregnancies are usually referred to as keloid pregnancies, and can usually be treated with the doctor’s choice of hysteroscopic surgery. Scar pregnancy refers to previous cesarean section, curettage and other surgeries, this time the fertilized egg is deposited in the previous uterine surgical scar, of which the cesarean section scar site pregnancy is the most common. Patients mainly experience postmenopausal vaginal bleeding, which can also lead to placenta implantation and uterine rupture, even endangering the patient’s life. Keloid pregnancies are usually more dangerous, so once diagnosed, the patient should cooperate with the doctor to terminate the pregnancy as soon as possible. It is possible to remove the pregnancy from the uterus under hysteroscopy to reduce the risk of surgical complications, but hysteroscopic pregnancy removal is unable to repair the weak myometrium at the uterine scar. It is recommended that patients with keloid pregnancies should cooperate with their doctors to give them appropriate management and treatment according to their own conditions.