Abstract Objective: The aim of this work is to predict those patients who will have a successful laparoscopic salpingostomy from those who will be obligated to go for salpingectomy. Methods: This study included 100 cases of diagnosed ec- topic pregnancy in low parity women and was prepared for laparoscopic sal- pingostomy versus salpingectomy. Clinical data were collected from the pa- tients (parity, gestational age and clinical presentation), b-hcg, ultrasound data (vascularity of the mass, viability of fetal pole and site of the ectopic in relation of the ipsilateral ovary), laparoscopic data (presence of mass invasion of the tube, free fluid in Douglas pouch, start of tubal abortion and site of ec- topic). Then we started to do salpingostomy on the antimesenteric border of fallopian tube using the spatula with monopolar diathermy and try to remove the conceptus from the tube with hydro dissection and check bleeding from the implantation site, only cauterization of the edges of the tubes at the site of salpingostomy was allowed. The process was called to be successful if no more bleeding from the fallopian tube and tubes were conserved, but it was a failed procedure if too much bleeding from the bed of fallopian tube and la- paroscopic salpingectomy was done. Results: 28 cases (28%) had laparoscopic salpingostomy (success group) and 72 cases (72%) failed salpingostomy and we went for laparoscopic salpingectomy (failure group). 67 cases with the ec- topic in the medial 1/2 of the tube (from which 15 case had salpingostomy and 52 cases had salpingectomy) and 33 cases with ectopic in the lateral 1/2 of the tube (from which 12 cases had salpingostomy and 20 cases had salpin- gectomy) with no significant difference in both groups (P value 0.075). 42 case showed start of tubal abortion of which 24 cases (57.2%) had salpin- gostomy and 18 cases (42.8%) had salpingectomy with highly significant dif- ference between both groups (P value 0.000). 52 cases during laparoscopy showed invasion of the mass to the fallopian tube and impending tubal rup-ture, from this group 21 cases had salpingostomy and 31 cases had salpin- gectomy. Conclusions: In tubal pregnancy, presence of non-viable fetal pole together with signs of start of tubal abortion and presence of mild free fluid in Douglas pouch and no mass invasion of the fallopian tube can effectively pre- dict the success of laparoscopic salpingostomy and tubal conservation with no need for salpingectomy in low parity females.