The main difference between these two surgeries is that there will be scarring in the abdomen when the surgery is done openly; when the surgery is done laparoscopically, there will be 3-4 small incisions in the abdomen, and there is no big difference between the operation and the success rate after the surgery. Not everyone can get pregnant after tubal ligation, the pregnancy rate is only 70%. There are many reasons for not getting pregnant, and it is not certain that the tubes are completely open after the procedure. After all, there is scarring on the tubes, which can also lead to a higher incidence of ectopic pregnancy. Therefore, it is important to be aware of the need for checkups if you become pregnant.