Cornual pregnancy often poses a diagnostic and therapeutic challenge, with a significant risk for morbidity and mortality. Traditional treatment for cornual pregnancy has been through laparotomy, wedge resection, or hysterectomy. Early diagnosis is now possible through transvaginal ultrasonography and highly-sensitive beta-human chorionic gonadotropin assays. Consequently, several less-invasive therapies and techniques have been introduced over the last 2 decades. We present a simple, stepwise laparoscopic technique for the definitive, minimally-invasive excision of cornual pregnancy, along with a review of the pertinent literature.