With the emancipation of ideology and rapid economic development, more and more women have a history of abortion. Repeated, irregular abortions or post-abortion infections can easily cause a series of complications, the most common of which is tubal obstruction. Tubal obstruction is the most common cause of female infertility, mostly due to inflammation of the reproductive tract, endometriosis or congenital developmental abnormalities. Obstruction may be caused by obstruction within the lumen or by twisting and compression of adhesions in the fallopian tubes, ovaries and surrounding tissues, or both may be present in combination. There are many treatments available for tubal obstruction, including surgery, medication, local anti-inflammatory therapy, microwave physiotherapy, etc. The efficacy varies and needs to be selected according to the patient’s condition. Clinical studies over the years have found that different treatment methods are more targeted and efficient according to the specific location of tubal obstruction. Surgical treatment 1. Tubal lavage and imaging Tubal lavage and imaging are mainly a means of examination to determine the degree of tubal patency; imaging can further discover the site and mode of obstruction with higher accuracy. It has a certain therapeutic effect on patients with loose adhesions and mild obstruction, and can achieve complete patency after two to three treatments. 2.Interventional tubal reversal The interventional method is mainly suitable for patients with proximal tubal obstruction, i.e. interstitial or isthmus obstruction. Under the simultaneous monitoring of clear DSA (digital imaging angiography machine), COOK guidewire system is used to perform selective tubal imaging and recanalization. It mainly uses the catheter’s propulsive dilating and separating action and the impact of the contrast agent, etc., to unblock the fallopian tubes to the umbilical end. Interventional recanalization is performed under direct X-ray fluoroscopy, so that both the surgeon and the patient’s family can clearly observe the whole procedure at a glance, which is less painful, minimally invasive and can be completed in 30 minutes. The procedure is chosen to be performed 3-7 days after the patient’s menstruation. Reasonable antibiotic treatment is applied before and after the operation. Tubal lavage is performed 2-3 days after the operation, and for 3 consecutive months, lavage is performed 3-7 days after menstrual cleansing to consolidate the efficacy. However, in a few patients with severe pelvic adhesions, the adhesions may reoccur after surgery. 3.Laparoscopic or open surgery This surgery is mainly suitable for obstruction or hydrocele at the umbilical end of the fallopian tube. For some patients with proximal or middle obstruction, the purpose of recanalization can also be achieved by loosening the adhesions around the fallopian tube and ovaries, and in a few patients, tubal reanastomosis at the obstruction can be performed. The procedure is usually performed 2-3 days after menstruation. In addition to releasing all the adhesions in the pelvic cavity, the obstruction at the umbilical end of the fallopian tube should be cut open to restore its anatomy as much as possible and to facilitate the recovery of its function. Tubal lavage was performed for 3 consecutive months after surgery to consolidate the efficacy of the treatment. The spontaneous pregnancy rate six months after surgery can reach more than 50%. Laparoscopic tubal ostomy also has the characteristics of less trauma, quick recovery, early discharge, mild postoperative pain and fast recovery of gastrointestinal function which are welcomed by the majority of patients. Second, drug treatment Tubal blockage is mainly caused by infectious inflammation causing tubal adhesions, but infectious inflammation is often transient and short-term. Almost 100% of the tubal obstruction is discovered during the post-marital infertility checkup, when and why it was discovered so early that it can only be inferred by experience. Therefore, it is too late to mend the fold in accordance with the characteristics of acute inflammation and anti-inflammatory treatment, so simple medication for tubal obstruction is not effective. However, if combined with other methods, such as regular tubal lavage, local anti-inflammatory treatment, posterior fornix injection and physiotherapy, the efficacy can be greatly enhanced, and even complete cure can be achieved. Of course, for those patients whose inflammation has seriously damaged the anatomical structure of the fallopian tubes and affected their function, or those who have formed hydrocele, this treatment is still a drop in the bucket and far from solving the problem. At this time, surgery should be chosen. Local anti-inflammatory treatment and physiotherapy As with drug treatment alone, the effect of local treatment and physiotherapy alone is not obvious, but several methods should be combined and carried out together more scientifically, which can also achieve the expected effect and play a complementary role. In conclusion, for the alarming growth of the infertility population, there are various propaganda in the society, and some unscrupulous elements and irregular institutions solicit infertility patients with exaggerated propaganda, which not only makes them spend money, but more importantly, delays the best time to treat the condition, and even causes irreparable damage to the fallopian tubes. It is recommended that these patients should also keep their eyes open and choose a regular hospital for reasonable, standardized and effective treatment to achieve the goal of pregnancy.