Understanding the Procedure for Reversing Tubal Ligation
This article explains the process of tubal reversal surgery, including pre-operative assessments, surgical steps, recovery time, and cost considerations. It provides essential information for women seeking to restore fertility after tubal ligation, emphasizing the importance of medical evaluations and professional procedures to ensure success.

Understanding the Tubal Reversal Surgery Process
Many women, after initially deciding to prevent pregnancy through tubal ligation, later reconsider and wish to conceive. If you've had your tubes tied and now want to restore fertility, tubal reversal surgery offers a viable solution. This procedure reconnects your fallopian tubes, increasing your chances of pregnancy.
Pre-Surgery Preparations
Before opting for tubal reversal, your doctor will evaluate factors such as your age, prior tubal surgery type, and overall reproductive health. Typically, patients who had only small sections of their tubes removed or closed with rings or clips are suitable candidates.
Comprehensive exams—blood tests, imaging, and specialized tests like hysterosalpingogram (HSG)—are performed to assess the health of your reproductive organs. Your partner will also need fertility evaluations, including sperm analysis.
Surgery Day Details
The procedure is typically outpatient, performed under anesthesia. A laparoscope is inserted through the navel to examine the fallopian tubes. If suitable, a small bikini-line incision is made to remove any clips or rings and reconnect the tubes with fine stitches. The surgery lasts approximately 2-3 hours.
Recovery usually takes one to two weeks, with many women resuming work by the second week—consult your doctor for personalized advice.
Cost Considerations
Insurance often does not cover tubal reversal. The total cost, including surgeon, anesthesia, and hospital fees, can amount to several thousand dollars.