For certain patients who have undergone tubal ligation, a tubal reversal can be performed to reestablish the reproductive communication between sperm and egg. This type of surgery is most often performed as a mini-laparotomy on an outpatient basis. The surgery involves microscopic reattachment of the cut fallopian tubes together.

There are many factors that influence the outcome and determine the appropriateness of this surgery. For instance, a tubal ligation that involves fulguration, or “burning” of the fallopian tubes, is not as easily reversed when compared to a tubal ligation in which a clip has been placed on the fallopian tube.

Prior to surgery, a detailed analysis of the type of tubal ligation previously performed, the likelihood of surgical success, and the best course of action is determined and discussed with the patient. Patients and their partners should complete an infertility evaluation prior to surgery to assure no other infertility factors would compromise outcome.

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