The practice of hysterolaparoscopic tubal ligation is as follows: in general, the first hysteroscopic examination, hysteroscopy is mainly to observe the patient’s uterus, there is no localized adhesions or some polypoid changes, and at the same time to observe the patient’s tubal openings are visible. After the end of hysteroscopy, patients need to do laparoscopy, through the laparoscope mainly to observe the patient’s pelvic cavity, there is no adhesion, the patient’s bilateral fallopian tubes, ovaries are not in the normal anatomical position. After the initial judgment, if there are adhesions in the uterine cavity, hysteroscopic electrocision will be performed first. If there are adhesions in the pelvic cavity, then laparoscopic adhesion detachment surgery will be performed first. After these initial examinations and treatments are completed, the tubes can be treated with either melphalan or tubal guidewire, depending on the situation. The treatment is usually performed from the uterine cavity and monitored from the abdominal cavity to comprehensively determine the condition of the patient’s fallopian tubes.