Design: Educational video

Setting: Academic medical center

Patients or Participants: 32 y.o multiparous patient with history of chronic pelvic pain and previous tubal ligation via partial salpingectomy.

Interventions: Robotic assisted laparoscopic excision of endometriosis and tubal reanastomosis. Steps of tubal reversal surgery include tubal recanalization, approximating the mesosalpitges, and placing reanastomosis stitches.

Measurements and Main Results: Uncomplicated tubal reversal surgery with remaining tubal length of more than 4cm and patent tubes on post operative hysterosalpingogram.

Conclusion: Sterilization reversal procedures are beneficial over IVF in younger patients. Patient informed shared decision making is crucial prior to tubal reversal surgeries. With advances in ART, these procedures are less practiced. It is important to provide opportunities for younger generation of reproductive surgeons to learn tubal surgery techniques.