A scar ectopic pregnancy is a pregnancy which implants into the uterus at the site of a cesarean section scar. The pregnancy can invade the uterine wall and into the urinary bladder. Life threatening bleeding can occur. Hysterectomy is often necessary. We managed a case of scar ectopic pregnancy by laparoscopy. We first ligated the major blood vessels supplying the pelvis (internal iliac arteries), excised the ectopic pregnancy and repaired the cut in the uterus by absorbable sutures. The uterus could thus be saved with the hope for future fertility.