Ectopic pregnancy occurs when a fertilized egg implants outside the uterus, most commonly in the fallopian tube. Risk stratification guides management—high-risk patients require urgent referral, while low-risk cases may be monitored. Treatment options include medical therapy with methotrexate for stable cases and surgical intervention (laparoscopy preferred; laparotomy if unstable). Follow-up involves serial serum β-hCG monitoring and symptom tracking. Emotional support is essential. Although ectopic pregnancy cannot be fully prevented, risk reduction includes STI screening and treatment, smoking cessation, and patient education. Pre-conception counseling for at-risk individuals and early antenatal booking are vital to reduce complications and improve outcomes.