Tubal Reversal

Tubal reversal, also known as tubal ligation reversal or tubal sterilization reversal, is a surgical procedure that aims to restore fertility after a woman has had a tubal ligation – a procedure where the fallopian tubes are cut or blocked to permanently prevent pregnancy. This reversal procedure is an option for women who wish to conceive naturally after having undergone tubal ligation.

Understanding Tubal Reversal

What is Tubal Reversal?

Tubal reversal is a surgical procedure that reconnects the blocked or cut segments of the fallopian tubes, allowing eggs to once again move through the tubes and sperm to reach the eggs for fertilization.

Who are Candidates for Tubal Reversal?

Candidates typically include women who:

  • Had a tubal ligation but now wishes to conceive.
  • Are in good health.
  • Have sufficient healthy fallopian tube length.
  • Have a partner with a normal sperm count.

The Procedure

Tubal reversal is usually performed under general anesthesia. The two main surgical techniques are:

  1. Microsurgical Tubal Reanastomosis: This involves making a small incision in the abdomen (mini-laparotomy) to access and repair the fallopian tubes.
  2. Laparoscopic Surgery: A less invasive approach using small incisions and a camera to guide the surgery. However, it’s not suitable for all types of tubal ligations.

The choice of technique depends on the method used in the original tubal ligation and the condition of the fallopian tubes.

Success Rates and Factors Affecting Success

Success rates vary depending on:

  • Age of the woman (younger women typically have higher success rates).
  • The type of tubal ligation performed.
  • The remaining length of the fallopian tubes.
  • Overall reproductive health.


Recovery time can vary, but most women return to normal activities within a couple of weeks. Full healing might take longer.