The main process of laparoscopic surgery for ectopic pregnancy includes preoperative preparation and intraoperative operation, as follows. 1. Preoperative preparation: patients with shock should be operated while rehydrating, quickly determining the patient’s blood type, matching blood, disinfecting the patient’s lower abdominal surgical area, spreading sheets, and anesthesia. 2. Intraoperative operation process: Laparoscopic instruments are placed through puncture to find the lesion of ectopic pregnancy. If there is accumulation of blood in the pelvis, first use the suction device to suck out the accumulation of blood in the pelvis first, and then expose the lesion. Depending on the size and location of the lesion, as well as the severity of the bleeding, the decision is made as to whether to perform a salpingo-oophorectomy or simply remove the pregnancy. Finally, the pelvis is flushed and the laparoscopic instruments are withdrawn. Severe ectopic pregnancy can endanger the patient’s life, and some ectopic pregnancies are often mistaken for menstruation and delayed by the patient. Therefore, once diagnosed, the patient should undergo laparoscopic surgery in a timely manner, and the decision of whether to preserve the affected fallopian tube should be made according to the intraoperative situation.