It was not all that long ago a woman would choose to have her fallopian tubes “tied” being absolutely sure her baby making years are over and they were, in fact … truly over. Today, that has changed and women can once again get pregnant. There are two procedures to assist her. As a physician who practices fertility medicine, I am fortunate to have at my disposal both accepted techniques to help women who lament their tubal ligation — Tubal Reversal Surgery or In Vitro Fertilization. Each process has its own benefit, success rate and risks. I’d like to share my thoughts about how I approach these patients.