OBJECTIVES Reproductive outcome after laparoscopy or laparotomy performed for treatment of ectopic pregnancy. METHODS Data of 104 women were collected by a questionnaire and from medical records. RESULTS No differences in pregnancy rate were found comparing the two different operative procedures. Women with a normal contralateral fallopian tube had a better pregnancy rate compared with those with a damaged contralateral tube. CONCLUSIONS The crucial factor for future reproductive outcome after surgical treatment of ectopic pregnancy is the status of the contralateral tube.