Tubal Reversal Surgery

What Is Tubal Reversal?

Tubal reversal (tubal reanastomosis) is a microsurgical procedure that reconnects the segments of fallopian tube that were cut, tied, or removed during tubal ligation. When successful, it allows eggs to travel from the ovary to the uterus naturally — restoring fertility.

Am I a Good Candidate for Tubal Reversal?

Candidacy depends on several factors:

• Type of tubal ligation — tubal clips or rings have the best reversal outcomes; complete removal of tube sections (salpingectomy) cannot be reversed
• Length of remaining tube — at least 4–5cm of healthy tube on each side is needed for a successful anastomosis
• Age — success rates decline with age; women under 37 have significantly better outcomes
• Ovarian reserve — AMH and antral follicle count should be assessed pre-operatively
• Partner's semen analysis — normal male fertility is important before committing to surgery

The Procedure

• Performed laparoscopically under general anaesthesia
• Typically 2–3 hours operating time
• Day procedure or one night in hospital
• Microscopic sutures used to reconnect the tube ends precisely
• Recovery 1–2 weeks before returning to normal activity

Success Rates

Pregnancy rates after tubal reversal depend primarily on age and tube length. Women under 35 with good tube length achieve pregnancy rates of 60–80% within 2 years. After 40, success rates decline to 20–40%. In some cases — particularly older women or those with limited tube length — IVF may offer better success rates than reversal. Dr. Juneja will counsel you honestly about which option gives you the best chance.