This patient came to me after reading those original articles of mine on and specifically trying to get pregnant naturally. She was 32 years old, married for more than 5 years and just not getting pregnant. Her periods were normal, her husband’s semen was good, and her fallopian tubes were clear on iodine oil imaging. However, she was willing to believe that there was no cause of infertility found and she was willing to cooperate with my minimally invasive fertility treatment. In fact, the quality of this patient lies in her ability to appreciate the reasoning and thoughts of others. If we are not willing to open our hearts, no sunlight can find its way into our hearts. This was the main problem that I found during her surgery. Although the fallopian tubes were patent, there were many redundant structures at the umbilical end of the tubes. The redundant structures are like weeds growing in a crop field. The weeds grow better than the crop and it is impossible to hope for a crop. During surgery, the weeds are removed and the normal structure of the umbilical end of the fallopian tube is left behind. This gives the patient’s umbilical end the ability to pick up eggs. We are looking forward to her good news oh. This is a primary infertility patient with patent fallopian tubes but abnormal development of the umbilical end, which is impossible to detect by iodine oil angiography or only suggests adhesions at the umbilical end. Only a laparoscopic procedure and an experienced minimally invasive fertility surgeon can identify these abnormalities. I once saw such a patient who had a laparoscopy out of town and said that no problems were found. But how she could not get pregnant, all the same she found me, also with abnormal development of the umbilical end of the fallopian tube, which interfered with egg collection at the umbilical end, again affecting the function of the fallopian tube. Even if these problems are found, they need to be repaired accurately. If one does not have the experience to operate and remove the normal structures and leave the ones that are not there, it adds to the damage. With primary infertility, there is more to be done. Minimally invasive pregnancy assistance is both the gold standard for diagnosis and a necessary option for natural pregnancy.