Objective To compare the results of conservative treatment operation for two groups of tubal pregnancy with laparoscopy and laparotomy. Methods We disparted tubal pregnancy patients into two groups: laparoscopy group(418 cases from August 2001 to December 2004) and laparotomy group(182 cases from January 1998 to July 2001) ,and evaluated the clinical characteristics,the postoperative incidences of persistent ectopic pregnancy, the rate of intra-uterine pregnancy and the rate of ectopic pregnancy. Results In the laparoscopy group,only 1 case arised the postoperative incidences of persistent ectopic pregnancy. In the laparotomy group,6(3. 3% ) out of 182 arised(P 0. 05). Conclusion Laparoscopy has advantage over laparotomy therapy in the conservative operation of tubal pregnancy.