 Ovarian pregnancy refers to an ectopic pregnancy that is located in the ovary. In this condition, the egg cell is not released or picked up at ovulation but fertilized within the ovary where the pregnancy implants. Ovarian pregnancies are rare. Most ectopic pregnancies occur in the fallopian tube and very few ectopics occur in the ovary. Such a pregnancy usually does not proceed past the first four weeks of pregnancy. Blood tests and an ultrasound scan are used to diagnose this condition. Most ovarian pregnancies are dangerous and prone to internal bleeding. Thus, when suspected, medical intervention is necessary. A combination of laparoscopic surgery and medications are typically used to treat an ovarian pregnancy. The surgery takes around 2-3 hours and most patients can go home the same day. Patients with an ovarian pregnancy have a good prognosis for future fertility and therefore conservative surgical management is generally advocated.