Background: The management of ectopic pregnancy has undergone a revolution in the past few decades. Evidence suggests that the incidence of ectopic pregnancies has been rising. Earlier diagnosis also plays a role by identifying ectopic pregnancies that would have spontaneously resolved. Objectives: The aim of the present study is to describe the presentation and different modalities of management of ectopic pregnancies admitted to the Gynecology ward over the study period. Methods: This was a cross-sectional study was done in the Obs & Gynae Department, Shaheed Suhrawardi Medical College Hospital. Fifty patients who were clinically suspicious of ectopic pregnancy and also supported by positive urinary pregnancy tests, beta hCG and no intrauterine gestational sac in ultrasonography was included for the study. Data were collected in a preformed questionnaire and analyzed by SPSS (version 22.0). Results: Maximum respondents (60.0%) age 21-30 years, mean age 27.71±5.3 years. The past history of pelvic inflammatory disease (PID) forms the major bulk of the risk factors of ectopic pregnancy. Patients had H/O pelvic inflammatory disease was 54% of the study population. Patients had H/O of menstrual regulation 16.0% and history of abortion (spontaneous and induced) 20.0%. Most of the patients 56% having history of < 8 wks. of amenorrhoea, 6% having no history of amenorrhoea and least (4%) having more than 10 weeks amenorrhoea. All (100%) of the patients having history of Abdominal pain; Amenorrhoea was found in (94%), Vaginal bleeding was found in (82%) and general weakness was found in (90%). On the other hand less than 40% had symptoms of fainting attack (36%) and early pregnancy sign-symptoms (38%). Among 50 patients 43(86%) undergone surgical operation,5(10%) receive medical treatment and 2(4%) are managed expectantly, 93.02% cases of ectopic pregnancy occurred in the fallopian tube, 4.6% cornual, 2% ovarian among the study population undergone laparotomy. Right tube was found to be involved more often (55%) than left (45%) and in most of cases (93.02%) the tube was found to be ruptured. Out of 43 cases of laparotomy 37 (86.04%) cases unilateral salpingectomy, 3(6.9%) cases unilateral salpigectomy with contralateral tubectomy and 1(2.3%) cases unilateral salpingo-oophorectomy were done. one case removal of cornu and repair done. Small number of patients had developed minor complications like pyrexia alone 23.25%, Pyrexia with lower abdominal pain (18%), wound gap (2.3%), mild abdominal distension (4.6%), UTI with pyrexia (6.9%) and loose motion (4.6%) among the study population. Conclusion: Pelvic inflammatory disease and multiple induced abortions and menstrual regulations are the strongest risk factors of ectopic pregnancy. Prevention of PID may not only reduce the ectopic pregnancy but also reduce adverse effects on tubal patency. Child birth in total aseptic conditions by a skilled birth attendant to prevent incidence of pelvic infection.