Tubal uplift refers to the horizontal position of the distal fallopian tubes beyond the base of the uterus, even beyond the pelvis, during a hysterosalpingogram. It is more common to have an uplifted fallopian tube on film. The causes of tubal uplift are classified as physiologic or pathologic. There are 3 causes of physiological tubal uplift: 1) a change in the patient’s position at the time of the film or a difference in the angle of the x-ray; 2) an outward pull of the cervical clamp; 3) a pull to fix the balloon tube. Physiological uplift does not affect natural pregnancy and, therefore, does not require treatment. Pathological tubal uplift is caused by pelvic inflammation, surrounding adhesions, pelvic tumors, etc. Pathological tubal uplift affects natural pregnancy and therefore needs to be treated.