Hysterolaparoscopic evacuation of the fallopian tubes refers to laparoscopic surgery performed in conjunction with a hysteroscope to evacuate the incompetent fallopian tubes. This type of surgery is very intuitive to the lesions and the success rate is relatively high. Blocked tubes or adhesions around the tubes will affect the peristalsis of the tubes, at this time, in order to be able to successfully conceive, surgery is needed to loosen the adhesions and unblock the tubes. Hysteroscopy combined with laparoscopy can be used to visualize the tissue inside and outside the fallopian tubes at the same time, including the openings of the tubes, the tubal routes, and the intrauterine environment, resulting in a higher success rate. When patients undergo combined hysterolaparoscopic evacuation of the fallopian tubes, they should pay attention to moderate activity after the operation and keep clean to prevent recurrence of adhesions. When tubal failure occurs, it is important to seek timely medical attention and choose the appropriate surgical method under the guidance of the doctor to promote the alleviation of the condition.