Can adhesions reoccur after minimally invasive pregnancy assistance for blocked fallopian tubes? In fact, behind this question is another issue: whether tubal adhesions and blocked fallopian tubes should be done and how to consolidate the results after doing so. 1. Whether tubal adhesions and tubal blockage need to be treated surgically is best decided by a doctor with extensive experience in reproductive surgery: not all infertility patients have to undergo such surgery, and not all patients with tubal abnormalities are not suitable for such surgery. If one has not done such a procedure, or has only experience with other gynecological procedures, the conclusions reached may not be very realistic for the patient. 2. Abnormalities of the fallopian tubes are best done by experienced minimally invasive fertility surgeons: Minimally invasive fertility treatment is a delicate operation and the best opportunity for surgery is only once. Unlike other gynecological surgeries where tissues are removed in a broad-brush manner, all operations should be completed around the protection of reproductive function, and inappropriate operations may aggravate the damage. Therefore, it is prudent to choose the hospital and doctor to complete such operations. For example, the separation of adhesions and removal of adhesion bands may seem simple, but there is also a lesson to be learned. Another example is the atresia of the umbilical end of the fallopian tube, the formation of the umbilical end, and the tubal ostomy, which should protect the morphology of the umbilical end as well as prevent re-adhesion. The fallopian tube may also be removed if it is so severely damaged that preservation alone will not help much with fertility. The determination of the relative problems of the umbilical end of the fallopian tube and the ovary and how to make it easier for the umbilical end to grasp the egg cells is also a very delicate operation. In short, surgery of the fallopian tubes requires effort. 4. Measures to prevent adhesions during surgery: Try not to damage the plasma membrane layer during surgery and try to protect the integrity of the peritoneum. If the adhesions are not large, anti-adhesion drugs can be placed. If the area of adhesions is large, or if it is an important part of the prevention of adhesions, anti-adhesive film may be placed. This can reduce the postoperative adhesions. 5, how long the post-operative effect lasts: Many patients have a misconception that adhesions will form again if they are not pregnant within a short period of time after the adhesions are separated. In fact, the formation of adhesions is in the early postoperative period, if no adhesions are formed during this period, and there is no trigger for re-infection, etc., the chance of re-adhesions is very small. The fact that some patients get pregnant naturally after surgery and later have a second child is a good proof of this. 6, how to prevent adhesions after surgery: early prevention of infection is very important, and antibiotics will be used routinely after surgery. However, it is not recommended that patients be discharged from the hospital with another infusion of anti-inflammatory fluid. Pelvic physiotherapy can be done if necessary, not every patient needs it. In some patients, after the tubal lumen has been opened, I would recommend another outpatient hysteroscopic lavage after resumption of menstruation to consolidate the results.