Three cases had an ectopic mass at the fallopian tube and underwent salpingectomy. The other case was found to be an ectopic ovarian pregnancy and underwent partial ovariectomy. No major perioperative complication occurred in all cases. Two patients delivered healthy babies at term, while one resulted in spontaneous abortion before LS, and the other one underwent abortion after 11 weeks of LS. In conclusion, laparoscopic surgery is a reasonable diagnostic and therapeutic option for HP. We need to adequately explain to patients the risks and benefits of LS, preoperative complications, and expected pregnancy outcomes before the surgery.