A tubal ligation reversal is a procedure to restore fertility after a woman has had a tubal ligation (commonly referred to as having her “tubes tied”) — when the fallopian tubes are cut or blocked to permanently prevent pregnancy.
During a tubal ligation reversal, the blocked segments of the fallopian tubes are reanastomosed (untied) and reconnected to the remaining healthy tubes, allowing eggs to again move through the tubes and for sperm to join an egg.
The minimally invasive, same-day surgery is performed using laparoscopy, hysteroscopy, or robotic surgery.
The success of TLR depends on the woman's age, type of tubal ligation originally performed (sterilization with tubal clips or rings are the most likely to allow successful reversal), and the length of her remaining healthy tubes. Approximately 50-80 percent of women who have TLR go on to achieve a successful pregnancy.