A smiling woman looking at a pregnancy test

Tubal Reversal

When you underwent tubal ligation, you probably never imagined wanting to get pregnant in the future.

If you have previously had your “tubes tied,” Dr. Sonja B. Kristiansen may be able to help you conceive with IVF or INVOcell.

At our Houston, TX, facility, we strive to improve your chances of pregnancy. Find out which treatment option is right for you.

What Is ​Tubal Reversal?

Tubal reversal is a procedure designed to reverse a tubal ligation. During a tubal ligation, a woman's fallopian tubes are cut, tied, or blocked off to prevent eggs and sperm from joining. During a tubal ligation reversal, the surgeon will reconnect, untie, or reopen your fallopian tubes so you have a chance of conceiving a child once again.

Note: If you are a good candidate for a tubal reversal, Dr. Kristiansen will refer you to a gynecologic surgeon.  Dr. Kristiansen does not perform tubal ligation reversal surgery.

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How does the procedure work?

Tubal Ligation Reversal  What to Expect during the Process

Tubal ligation reversal is an outpatient procedure, meaning that you can go home on the same day of your surgery. Here is what you can expect from your first consultation to your post-surgical recovery...

Modern techniques are less invasive and allow many to be treated on an outpatient basis.
Modern techniques are less invasive and allow many to be treated on an outpatient basis.


Dr. Kristiansen will evaluate your condition to determine whether tubal ligation is the only cause of infertility. If you have a good chance of pregnancy following a reversal, we will refer you to a highly qualified gynecological surgeon for scheduling. If you do not meet the qualifications for tubal ligation reversal, Dr. Kristiansen can help you conceive with IVF or INVOcell.

Laparoscopic Examination

To examine your fallopian tubes and assess their condition, your surgeon will insert a tiny laparoscopic camera through a small incision in your abdomen. If the tubes are healthy enough even after the initial ligation, a reversal may be possible.

Incision and Reconstruction

If the ligation is reversible, the surgeon will begin the procedure by making several small incisions in the abdomen. Using laparoscopic instruments, the doctor repairs the fallopian tubes or removes the clips causing the tubes to be blocked. Before closing the incisions, the surgeon will check to make sure that there are no leakages and that the tubes have been successfully reconnected.


Your surgeon will carefully close the incisions, and you will remain in the hospital for about three hours after your procedure.


Your surgeon will give you detailed instructions on how to recover as well as schedule follow-up appointments to monitor your progress. You may be prescribed medication to help ease discomfort while you heal. Most women can return to their normal activities within two weeks. However, you should refrain from strenuous activity or exercise until your doctor says you are clear.

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Is Tubal Ligation Reversal Successful?

It can be.  Success rates are dependent upon several factors including the type of tubal ligation procedure that your surgeon used and how well the tube can be restored back to its original condition.  The ligation method of using rings, clips or removing a small section of the fallopian tube can have a high success rate of reversal.  Methods that remove large sections of the fallopian tubes or remove the fimbrial portion of the fallopian tube have very low success rates of reversal.

Other factors may present which can affect the chances of a successful pregnancy.  Even if there is success with the tubal reversal surgery, age, decreased ovarian function, and sperm quality are all additional factors in achieving pregnancy with tubal reversal.

At Houston Fertility Center, we are always open and honest about your chances of pregnancy following fertility treatments. Our patients in Houston and surrounding Texas regions including Sugar Land trust us to deliver great results and reliable information on reproductive treatments. Here are some important details that may help you decide if this procedure is right for you...

Several Factors Can Determine Success

The success rate of tubal reversal can vary widely depending on the patient's age, the type of tubal sterilization they previously underwent, and their overall health. If you and your partner have no other fertility issues, then you have a good chance of getting pregnant in the first two years after the procedure.  Other fertility issues will decrease success rates of tubal reversal.

Many Patients Achieve Success

In a study published in the Journal of International Medical Research, over 55 percent of patients under the age of 40 became pregnant after undergoing a tubal reversal. The chances increased to almost 70 percent for patients aged 35 or younger. 

There Are Associated Risks

As with any surgery, there is always a chance that the procedure is not successful or that complications can occur. Most of the risks associated with tubal reversal surgery are rare, but they include bleeding, infection, anesthesia complications, and ectopic pregnancy.

Do I have other options to become pregnant?

Dr. Kristiansen Offers Many Fertility Treatment Options Find One That's Right for You

At our fertility center serving Houston, Sugar Land, and other parts of Texas, we provide comprehensive evaluations of your reproductive system to try to detect potential fertility issues.

If there are any factors that could affect the success of your tubal reversal, you may be better suited for assisted reproductive technologies offered at our clinic such as INVOcell™ or IVF.

During IVF, the eggs are fertilized outside of the uterus, bypassing the need for fallopian tubes to conceive a child. We provide several options and do everything we can to help you achieve the family of your dreams. 

Read more about additional fertility treatments offered at our practice and schedule a consultation with us today.

in vitro fertilization (IVF)
Dr. Sonja Kristiansen

Houston Fertility Center

Dr. Sonja Kristiansen is the founder and Medical Director of Houston Fertility Center. She is a board-certified Reproductive Endocrinologist Infertility (REI) specialist who is proud to help hopeful parents fulfill their dreams of having children. Our center is affiliated with the:

  • American College of Obstetricians and Gynecologists
  • American Society for Reproductive Medicine
  • Texas Medical Association

We provide convenient care for patients from greater Houston and visitors from out of town. For more information about our services, contact our office online or call (713) 225-5375 today.

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