Tubal Reversal - Overview

This page provides educational information about tubal reversal which is also called tubal ligation reversal, tubal reanastomosis, tubotubal anastomosis, and tubal sterilization reversal.

Tubal reversal is a surgical procedure that restores fertility to women after a tubal ligation (after having "tubes tied"). The tubal reversal procedure rejoins the separated segments of fallopian tube, giving women the chance to become pregnant again naturally.

The typical candidates for a tubal reversal are women who, after having tubes tied, want to conceive a child with a new partner (e.g., remarrying), or after the loss of a child.

Some women choose to have a tubal reversal procedure, not for the purpose of having children, but to reverse the effects that some women experience with post tubal ligation syndrome (PTLS), i.e., after having had their tubes tied.

Tubal reversal surgeries utilize the techniques of microsurgery to open and reconnect the fallopian tube segments that remain after a tubal ligation.

This is a delicate surgery that is best performed by a reproductive surgeon with specialized training and experience in the techniques of tubal ligation reversal.

Several factors play into the cost of tubal reversal so be sure you discuss these factors with your doctor.

Tubal reversal success rates vary widely depending upon many factors such as the woman's age, the method of tubal ligation performed, the experience of the surgeon and techniques for repairing the tubes.

The decision to undergo tubal ligation reversal should be carefully weighed against the potential for successful in vitro fertilization. Women who have little chance of successful tubal reversal should be advised to consider in vitro fertilization.

Tubal Reversal vs. IVF - For most women desiring another child after a tubal ligation, this study found that tubal reversal was a better treatment option than IVF.