Tubal Reversal Surgery: A Path to Restoring Fertility

For many women, the decision to undergo tubal ligation—commonly referred to as “getting your tubes tied”—is made during a season of life when they feel certain their family is complete. However, life evolves. A new relationship, the loss of a child, or a change in perspective to plans can awaken a desire to conceive again.

We understand that assisted fertility options are not just medical—it’s deeply personal issues. For eligible women, tubal reversal surgery offers a chance to restore fertility and pursue natural conception without the need for assisted reproductive technologies like in vitro fertilization (IVF).

IVF vs. Tubal Reversal: Understanding the Options

It’s important to acknowledge that IVF remains a safe, effective, and widely used fertility treatment. IVF works by bypassing damaged or blocked fallopian tubes entirely.

However, for some women, the idea of conceiving naturally—without hormone injections, egg retrievals, or embryo transfers—is incredibly meaningful. Tubal reversal surgery offers an alternative path for women who wish to restore the natural function of their fallopian tubes and try to conceive month by month, as they would have prior to their tubal ligation.

This procedure is not for everyone, but it can be a valuable option for the right patient.

What Is Tubal Reversal Surgery?

Unlike IVF, which assists fertilization outside the body, tubal reversal restores the anatomy needed for conception to happen internally and naturally.

Tubal reversal, or tubal ligation reversal, is a microsurgical procedure that reconnects the previously ligated fallopian tubes, allowing eggs to travel through the tubes and meet sperm for fertilization. This restores the body’s natural reproductive pathway.

Who Is a Good Candidate?

Not all women are eligible for tubal reversal. The best candidates typically:

• Are under 40 years old
• Had tubal ligation with clips, rings, or ties (rather than full removal or burning of the tubes)
• Have healthy fallopian tube remaining
• Possess good ovarian function and a normal uterine environment
• Have a partner with normal sperm parameters

Can Tubal Reversal Be Combined with Endometriosis Surgery?

Yes—and this is an important advantage. Many women with prior tubal ligation also have undiagnosed or co-existing endometriosis that may affect fertility. Our center is internationally recognized for excellence in endometriosis excision surgery, and tubal reversal can be combined with excision in the same procedure when needed. This comprehensive approach gives patients the best chance of restoring both anatomical integrity and reproductive function.

What to Expect from Surgery and Recovery

Tubal reversal is performed laparoscopically using microsurgical precision techniques. When performed alone, it’s usually an outpatient procedure, with patients returning home the same day. Most resume light activity within one week, with complete recovery expected in 2–3 weeks.

Success Rates: What Are the Chances?

Success varies based on age, tubal condition, and overall reproductive health:

• Women under 35: 60–70% chance of pregnancy within two years
• Women 35–40: 40–50% chance
• Women over 40: Lower success rates and IVF may be more appropriate

For women seeking a less invasive, natural method to conceive after tubal ligation, this surgery may offer a second chance.

Pros and Cons of Tubal Reversal Surgery

Your Journey, Your Choice

While IVF remains a valuable and often necessary fertility treatment, tubal reversal is a compelling alternative for the right candidate, in some conditions. It’s about restoring what was once closed off—and offering the possibility to conceive naturally again.

If you’re exploring your options after tubal ligation, let us help you navigate this journey with compassion, clarity, and expert care.

Have you ever regretted having a tubal ligation and later wished to become pregnant—and heard about the possibility of reversal surgery? Please feel free to leave a comment on our post on Facebook or Instagram to share your experience with others  if you wish.