The best way to treat tubal incompatibility on the right side after a tubalogram is to have surgery. Tubal imaging for bilateral tubal incompetence should be performed laparoscopy or to understand the cause of tubal incompetence. During the operation, according to the different causes of peritubal adhesion, distal obstruction and mild hydrocele, laparoscopic salpingo-oophorectomy, peritubal adhesion release and tubal anastomosis will be performed to restore the normal anatomical structure of the fallopian tubes and the surrounding tissues, and to improve the patency and function. However, for severe or with obvious vaginal discharge of tubal effusion. Currently, it is advocated to perform tubectomy or ligation to block the adverse effects of inflammatory hydrocele on the endometrium and to provide favorable conditions for the next step of assisted reproduction technology for pregnancy.