Tubo-tubal Anastomosis (Tubal Ligation Reversal)

By RRM Academy Reviewed by Dr. Naomi Whittaker, MD, Board-Certified OBGYN, MIGS, NFPMC, FCI Updated May 7, 2026

Microsurgical reconnection of the fallopian tube segments following prior tubal ligation ("tubes tied"), allowing natural conception to resume. Can be performed via laparoscopy, robotic assistance, or mini-laparotomy. Pregnancy rates after tubal reversal using microsurgical techniques range from 57% to 84%. A large series found that women under 30 with ring/clip sterilization reversals achieved an 88% pregnancy rate. Success depends most strongly on the woman's age at time of reversal and the remaining tube length after reconstruction.³⁰³¹³²³³

Sources

Tubal Ligation Reversal: Success Rates, Complications. . Ro
Tubal Reversal V IVF Success Rates. . MCRM Fertility
Effectiveness of bilateral tubotubal anastomosis in a large outpatient population. . PMC
Pregnancy outcome of laparoscopic tubal reanastomosis. . PMC / NIH

This content is for educational purposes only and does not constitute medical advice. Consult an RRM clinician or healthcare provider for guidance specific to your situation.