”My fallopian tubes are not working, should I do in vitro or intervention?” This is a question that is frequently asked during outpatient visits, and of course there is no standard answer. My personal preference is for the former: IVF. About 1/3 of infertility patients have problems with their fallopian tubes, such as tubal obstruction, adhesions or fluid retention. No. First of all, interventional treatment is only suitable for patients with proximal tubal obstruction, and there is no way to solve distal hydrocele or adhesions. Even if the tube is ‘opened’, it will not work. Because of this, the pregnancy rate after the intervention is very low. Although the cost is not high, valuable time is lost. This treatment is not recommended especially for older patients, and once the optimal age for conception is missed, it is irreversible. IVF, i.e. in vitro fertilization-embryo transfer, does not require tubal involvement and is especially suitable for patients with tubal problems. The pregnancy rate is currently stable at 50-55%, so it is a recommended treatment.