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Background and Aim: Cervical pregnancy is a rare form of ectopic pregnancy. Treatment approach depends on hemodynamic status; so, it could be medical therapy or more aggressive treatment like emergent hysterectomy. Case report: We present an interesting case of cervical ectopic pregnancy with high level of βhCG which was successfully treated with multidose methotrexate. Conclusion: In cases of early diagnosis of cervical pregnancy in patients with stable hemodynamic status, medical therapy could successfully treat cervical ectopic pregnancy even with high level of βhCG.