Ectopic Pregnancy, a life jeopardizing emergency, can land in disaster, if the diagnosis is missed. Any woman in the reproductive age group presenting with vaginal bleeding and abdominal pain- the first suspicion should be ectopic. This was a hospital based retrospective cohort study of 5 years in Haryana, North India (3 Tertiary Care Centres)- to evaluate the incidence, patient profile, high risk factors, clinical presentation, diagnostic methods, treatment, outcome and complications of the same. Statistical analysis was done by MS Excel spread sheet using SPSS software 19.0 version. A total of 175 cases of ectopic pregnancy were diagnosed during the study period (Incidence of 1.521%).Majority of the patients were in age group 21 to 30 years 101/175(57.71%) with nulliparous being 60/175(34.28%).Most important risk factors found were past history of miscarriage, pelvic surgery, tubal surgery and tubal ligation.75 % patients presented with the classical triad of lower abdominal pain, amenorrhoea, and bleeding per vaginum. Clinical diagnosis was possible in 85.71% while 11.4% patients were ultrasonographically diagnosed. 96.7 % were tubal ectopic gestations. Conservative expectant management was done in 2 patients, medical methotrexate therapy was given in 26 out of which 6 required surgery for failed therapy & 84 % were surgically managed. 54 % required blood transfusion and there were no deaths. We conclude that identifying common risk factors and being ectopic minded will help clinicians in diagnosing and managing ectopic pregnancy at the earliest to reduce morbidity and mortality associated with the condition.