Cesarean section core ligation is able to recanalize. Bilateral tubal ligation is performed at the same time as cesarean section, in which the tubes are ligated in the avascular area of the isthmus and the tubal cores are cut off bilaterally, with the proximal end embedded and the distal end left free. After this type of ligation, you usually will not be able to have another child. If you want to get pregnant again, you can have a tubal reversal. Tubal reopening is achieved by reanastomosing the two broken ends of the fallopian tube. This procedure can be done either open or laparoscopically. Pregnancy function can be restored after tubal reopening, but the chances of getting pregnant may be reduced and the chances of having an ectopic pregnancy when you get pregnant again are elevated. Women who wish to undergo reopening are advised to have it done in a regular hospital to improve the success rate of the procedure.