Introduction: The incidence of cesarean scar pregnancies (CSPs) has increased worldwide due to increase in cesarean deliveries. Laparoscopic management is an effective strategy to deal with CSP resulting in immediate recovery, remediation, and repair of the cesarean scar defect. The diagnosis and management of CSP are challenging, and awareness of this condition is needed among the patients and obstetricians. Aims and objectives: To study preventable factors, role of minimal access surgery, and outcome in CSPs over a period of 2 years. Materials and methods: It is a retrospective cohort study in which patient's demographic characteristics, previous obstetric and surgical record, β-hCG, USG parameters, clinical presentation, contraception, etc., were studied. Results: Eleven cases of CSPs were admitted in a tertiary care hospital from 2019 to 2021. Median maternal age was 28 years with a median parity of two. The most common presenting symptom was vaginal bleeding. Nine out of eleven cases were successfully managed by laparoscopy. Hysteroscopy and ultrasonography were found very useful intraoperatively. Two patients required exploratory laparotomy. One patient had an intrauterine pregnancy following the CSP. Conclusion: Minimal access surgery remains the mainstay for the treatment of CSP in stable patients. Hysteroscopy and ultrasonography could be very useful during laparoscopic management of CSP. Cesarean scar pregnancy preventable factors are to be taken into consideration while performing cesarean section as the CSP incidence is increasing. Clinical significance: This study will help in finding out risk factors to CSP. Preventive factors of CSP, if studied further in detail, can help in reducing the incidence of this dreadful pathology. Early diagnosis and timely intervention with the help of minimal access surgery can save young women from losing their fertility.