This educational video focuses on the diagnosis and laparoscopic management of interstitial ectopic pregnancy. It begins by distinguishing interstitial pregnancy from cornual and angular pregnancies, emphasizing the role of myometrial thickness in making the correct diagnosis. A complete operative demonstration follows, showing vasopressin-assisted dissection, salpingectomy, excision of the ectopic pregnancy, and multilayer uterine repair. The lecture also discusses methods to control bleeding, alternative techniques when vasopressin is unavailable, and practical suturing strategies for uterine reconstruction. Viewers will gain a comprehensive understanding of both the diagnostic principles and surgical management of this uncommon but potentially life-threatening ectopic pregnancy.