OBJECTIVE To evaluate the safety and efficacy of a minimally invasive approach in the management of cervical ectopic pregnancies. METHODS Retrospective case series. METHODS University tertiary care hospital. METHODS Twenty-four women diagnosed with cervical ectopic pregnancy managed conservatively. METHODS Systemic methotrexate alone or combined with ultrasound-guided fetal intracardiac injection of potassium chloride. METHODS Reduction in hysterectomy rate, incidence of serious complications, and necessity for further intervention. RESULTS Conservative management of cervical ectopic pregnancy was successful in preventing the need for hysterectomy in all patients in our study. In two patients with a heterotopic gestation the intrauterine pregnancy could successfully be salvaged. Four patients experienced morbidity that required additional interventions. CONCLUSIONS Most cervical ectopic pregnancies can be safely managed in a minimally invasive manner.