Hello Thanks for writing to us with your health concern. Tubal ligation reversal is surgery to reopen, untie, or reconnect a woman s fallopian tubes so she can become pregnant. It is also known as tubal recanalization. Your health care provider will consider the following factors before you both decide if tubal reversal is right for you: Your age The type of tubal ligation surgery you had Your overall health and health of your ovaries, uterus, and remaining fallopian tubes, especially their length Had you had surgery in the past for endometriosis, fibroids, pelvic inflammatory disease (PID), or other gynecological disorders? Surgery can cause scar tissue, which may affect the success of the tubal reversal. In general, good candidates for tubal reversal are women who had only small parts of their fallopian tubes removed, or whose tubes were closed using rings or clips. Some surgeons say the best candidates for tubal reversal are women younger than age 40 who had sterilization surgery immediately following childbirth, a procedure called postpartum tubal ligation. Before surgery, your health care provider will likely recommend a complete physical exam for you and your partner to determine if pregnancy can be achieved after a tubal reversal. This may include blood and imaging tests to make sure your ovaries are normal. You will need a test called a hysterosalpinogram (HSG), to check the length and function of your remaining fallopian tubes. An HSG can be doing using dye and X-ray or saline and air along with ultrasound. A sperm count and semen analysis is recommended for a male partner to rule out any infertility problems. All the best Please feel free to discuss further.