Ectopic pregnancy is a global problem and is the most common life-threatening emergency in early pregnancy and its incidence is increasing especially due to various risk factors varying according to geography, literacy ,religion, contraception practises and so on. Materials and methods: This retrospective observational study was conducted in the Dept of OBG of a tertiary care centre of North India over a period of period of 2 years in 170 patients presenting with signs and symptoms of ecopic pregnancy. The data was compiled by using a predesigned structured proforma and retrieved data was tabulated and statistical differences in the distribution were tested using parametric and nonparametric statistical tests. All observations were discussed and compared with recent literature and final conclusions were derived. Results: In this study, the maternal age ranged from 18 to 45 yrs with maximum incidence found in the age group 21-30 years. Nulliparous females along with second gravida (21-25 yrs and third gravidas(26-30yrs) constituted the majority of patients. About 3/4th of the patients belonged to the poor socioeconomic status More than 85% patients were found to have positive urine pregnancy tests.The most significant factors found to be associated with ectopic pregnancy were age >35yrs,history of PID/previous abortion/previous abdomino-pelvic surgeries followed by use of ovulation induction drugs,OCP /IUD use .The most common presenting symptoms of the patients were abdominal pain, bleeding per vaginum with history of amenorrhea with more than half of them eliciting pallor and few of them presenting with fever and features of hypovolemic shock. The most common surgeries performed in the present study were salpingectomy (unilateral/bilateral) with or without oopherectomy with more than half of the cases having manifestations of ruptured ectopic pregnancy with hemoperitoneum more than 500ml. Fortunately there was no mortality found in our study Conclusion Ectopic pregnancy is a clinical condition which usually presents as a surgical catastrophe and very difficult to be differentiated from other surgical emergencies .A high index of suspicion along with screening of high risk cases and early referral from periphery can go a long way in reducing the morbidity and mortality.