There are two options for women who have had ligation surgery but have fertility requirements. One option is to go to a regular hospital for tubal reversal surgery. After this surgery, 2-3 tubal lavages may be performed to ensure that the tubes are as open as possible and to prevent re-adhesion of the tubes, and to prepare for pregnancy for six months to a year after the surgery. If you are still not pregnant after six months to a year of preparation, IVF is eventually recommended to help you get pregnant. Another option is to go directly to IVF to help conceive, especially for women who are older, or who have a decline in ovarian function, or a decrease in the number of basal sinus follicles, in which case it is best to go to IVF as soon as possible to help conceive.