There are 2 options for fertility treatment after having a tubal ligation; tubal reversal surgery and in vitro fertilization (IVF.) Tubal reversal is a procedure in which a physician reconnects your fallopian tubes. Depending on many factors, this surgery is not able to be performed. If the physician is able to reconnect your tubes, your chances of conceiving naturally are lower than with IVF. There are pros and cons to both procedures; neither option is typically covered by any insurance plan. Ultimately, your best option is to meet with a HealthCare provider who is able to fully discuss both options is a good first step. In addition to meeting with a reproductive specialist, testing will ensure that you are able to produce healthy eggs and that your partner has adequate sperm, to fertilize your eggs. You and your healthcare provider will be able to work together and determine the best option for your individual situation.