Aim: A review of clinical presentation and management of ectopic pregnancy in tertiary care centre at Amritsar. Materials and methods: This retrospective study was conducted in the department of Obstetrics and Gynecology, focusing on patients reported with all types of ectopic pregnancy from January 2023 to December 2023. The primary objective of the study was to determine the incidence, clinical features, risk factors, and outcomes associated with ectopic pregnancy. Data were collected from various sources, including admission registers, labor room registers, and operation theatre registers. A detailed proforma was utilized to gather information on age, risk factors, obstetric history, clinical presentation, ultrasound findings, management practices, and associated morbidity and mortality. According to history findings and investigations as per the protocol expected medical and surgical management was done. Results:The incidence of ectopic pregnancy was 1.31 per 100 deliveries. Abdominal pain emerged as the most frequently reported symptom, affecting 93% of the patients. Vaginal bleeding was the second most common symptom, observed in 75% of the patients. Amenorrhea, the absence of menstruation, was reported by 90% of the patients. Syncope, or fainting, was experienced by 37.5% of the patients, likely resulting from internal bleeding and severe pain. Lastly, shoulder pain, noted in 25% of the patients, is a referred pain from diaphragmatic irritation due to blood in the peritoneal cavity.Medical management with methotrexate was successful in 12.5% of the patients. Surgical intervention was required in 80% of the patients, indicating a significant portion needed this definitive treatment.. There wasa mortality reported, highlighting the potential severity of ectopic pregnancy. Conclusion: The most common risk factors for ectopic pregnancy according to our study are PID followed by previous tubal surgery or abdominal surgery. Detailed history and clinical examination along with investigations can be 100% sensitive for diagnosis of ectopic pregnancy. Best outcome of ectopic pregnancy is achieved by diagnosis and treating at the earliest.