Analysis and treatment of ectopic cesarean scar pregnancy has become a test for contemporary obstetrics. With an expansion in the quantity of pregnancies finished up with a cesarean area and with the improvement of transvaginal ultrasonography, the recurrence of cesarean scar pregnancy analyze has expanded too. The point of the investigation is to assess different analytic strategies (ultrasonography specifically) and dissect compelling treatment techniques for cesarean scar pregnancy. A ultrasound filter, Doppler assessment and attractive reverberation imaging are on the whole helpful in early discovery of asymptomatic cesarean scar pregnancy, in this way empowering powerful treatment and safeguarding of richness. Dilatation and curettage isn't suggested as it conveys critical danger of draining and high danger of hysterectomy and richness misfortune. Foundational methotrexate treatment ought not be applied on the normal premise because of its low adequacy, high danger of ripeness misfortune and unfavorable impacts. Neighborhood methotrexate treatment (under ultrasound or hysteroscopy direction) ought to be viewed as an ideal administration technique as it offers richness protection in asymptomatic pregnant patients without attending hemodynamic clutters. Simultaneous use of a few treatment strategies is a compelling method to oversee cesarean scar pregnancy. The blend of nearby methotrexate with synchronous goal of gestational tissues under ultrasound or hysteroscopy direction appears to be ideal. Therefore, the staying gestational tissues can be evacuated hysteroscopically in mix with vascular coagulation at the implantation site. In further developed cases, neighborhood methotrexate treatment ought to be considered trailed by laparoscopic or laparotomic wedge resection with ensuing careful remedy of the cesarean area scar.