There is an increased prevalence of ectopic pregnancy in India. The change is also caused by increased prevalence of diabetes, hypertension, hypothyroidism etc. due to life style changes. In this report, we present a case of 26-year-old primi female with right tubal pregnancy. The tubal pregnancy was diagnosed after transvaginal ultrasound examination. However, due to very high levels of beta-HCG and size of adnexal mass, immediate exploratory laparotomy proceed right salpingectomy was performed. After the surgery, the woman was discharged with no further complications.