Design: This is a woman who had bilateral tubal ligation 10 years ago but currently has natural fertility needs.She is a dancer, so she doesn't want obvious scars on her abdomen.

Setting: N/A

Patients or Participants: A 39 year old woman who underwent bilateral tubal ligation surgery 10 years ago but currently has a natural reproductive need.

Interventions: N/A

Measurements and Main Results: The surgical process was smooth with minimal intraoperative bleeding. The bilateral fallopian tube recanalization successful.The patient recovered quickly after surgery, and the wound healed well without any scars on her abdomen.

Conclusion: Natural orifice transluminal endoscopic surgery technology in bilateral fallopian tube anastomosis surgery is convenient, has good fallopian tube recanalization effect, and is non-invasive.