What is a tubal ligation reversal?
A tubal ligation, often called having your tubes tied, blocks or removes a section of each fallopian tube. Reversal reconnects the healthy segments that remain, so an egg can again travel to the uterus. It is done with microsurgical technique through small incisions.
For many patients, it offers a chance to conceive in the way they originally hoped to, and we will give you an honest picture of what to expect.
Who may benefit
Women who have had a tubal ligation and now hope to conceive naturally. Candidacy depends on the original method, how much healthy tube remains, your age, and your overall fertility, including your partner's.
Before surgery
We review your operative records when they are available and complete a fertility evaluation, including ovulation, the uterine cavity, and semen analysis, to make sure reversal makes sense for you.
During surgery
Under general anesthesia, the surgeon finds the healthy ends of each tube, removes the blocked or scarred segment, and reconnects the ends with very fine sutures. The surgeon then checks that the tube is open.
Recovery
Most patients return to light activity within days, though timing depends on the approach used. Your surgeon will give you specific instructions and schedule follow-up.
If you hope to conceive
Pregnancy is possible after reversal, and the chance depends on your age, how much tube remains, and other fertility factors. We will give you an honest estimate for your situation. Some patients need further treatment, and IVF is an alternative worth discussing.
Risks to know
Anesthesia risks, bleeding, infection, injury to nearby organs, and scar tissue are possible. After reversal there is a higher chance of a tubal (ectopic) pregnancy, so early monitoring in any pregnancy is important.
