Family Medicine physicians trained in obstetrics have become particularly invaluable in areas, such as rural communities, where a physician practicing solely obstetrics and gynecology is fiscally impractical. In such communities, often the general surgeons are reluctant to manage any pregnancy complication, including ectopic pregnancy, leaving the Family Physician trained in obstetrics the only physician capable of aiding such unstable patients. Ectopic pregnancy is a life-threatening obstetric emergency demanding accurate diagnosis and expedient treatment. Obstetrics fellowship programs in the United States have heretofore not taught surgical management of ectopic pregnancy. Obstetrics fellows can be taught a fairly simple minilaparotomy technique for surgical treatment of these emergencies. Physician credentialing is also discussed.