Whether the fallopian tubes must be removed during laparoscopic surgery for ectopic pregnancy is a question that we have to look at in a discriminating way. For a patient with tubal pregnancy, if she is in emergency surgery and enters the hospital into the operating room. If intraoperative investigation or vital signs are unstable, or if there are signs of shock, laparoscopic investigation, although there is a lot of bleeding, a lot of intra-abdominal bleeding, and a large tubal rupture that is difficult to repair, in order to save the patient’s life, we should choose to remove the affected fallopian tube. If intra-abdominal hemorrhage is low during the operation, and only a tubal pregnancy is aborted, or the tubal pregnancy is ruptured with a small rupture. In this case, if the patient also has a strong request to preserve her fertility, she can be operated conservatively as much as possible to preserve the affected fallopian tube and preserve her fertility.