The fallopian tubes are the place where the egg and sperm are united and the channel for transporting the fertilized egg. It is obvious that if the fallopian tubes are blocked, it can cause infertility in women. Currently, blocked fallopian tubes are a common cause of infertility in women. What is the best way to treat blocked fallopian tubes? Is it surgery? In vitro fertilization? Or herbal treatment or microwave treatment? 1. Surgery is the more definite method to unblock the fallopian tubes. The fallopian tubes are divided into interstitial part, isthmus, abdomen and umbrella part from inside to outside. For interstitial tubal obstruction, hysteroscopic or x-ray or ultrasound guided wire evacuation or tubal horn grafting is performed, which has a low success rate and is rarely used at present. The surgery can be performed transabdominally or via laparoscopy or hysteroscopy. As seen above, there are various surgical procedures. Currently, combined hysterolaparoscopic surgery is used as the gold standard for diagnosis and treatment of tubal infertility, which has obvious advantages compared with other surgeries. It is performed under the hysteroscope with direct view of the tubal opening, and the guidewire is inserted directly into the tubal opening to unblock the proximal tubal obstruction; laparoscopic tubal ostomy and tubal cystoplasty is performed for obstruction of the umbilical end of the fallopian tube or hydrocele, and peri-tubal adhesion release is also feasible to restore the normal structure and spatial structure of the fallopian tube. This allows for a clear diagnosis of the site and extent of tubal obstruction and also allows for treatment. The specific modality of hysteroscopic surgery depends on the degree of tubal obstruction and the subsequent treatment plan. In cases of severe tubal effusion and vaginal drainage, tubal ostomy is not recommended for those who are ready for IVF treatment, and ligation or resection is required if necessary. Even if there are various surgical methods, if the tubal damage is serious and extensive, the success rate of surgery is extremely low, and even if the tubal is open after surgery, it does not mean that the function of the tubal is fully restored, plus the adhesion can be regained after surgery, so the pregnancy rate is only 15%-20% on average. 2.Chinese herbal medicine and microwave therapy are also known methods for the treatment of tubal obstruction, but they are basically ineffective for unblocking the fallopian tubes and are often used as adjunctive treatment. 3.In vitro fertilization-embryo transfer technique: it is also known as IVF. It is suitable for the following cases: for bilateral tubal obstruction diagnosed by hysteroscopy and failed intraoperative unblocking; for bilateral tubal agenesis (often removed due to ectopic pregnancy); for tubal obstruction unblocking by hysteroscopy and still not conceiving after six months to one year of active trying; for tubal obstruction combined with advanced age, diminished ovarian function, combined with male partner semen abnormality, it is recommended to first choose For tubal obstruction caused by pelvic tuberculosis, which is usually more serious and often combined with severe pelvic adhesions, IVF is recommended to assist pregnancy directly. Therefore, if you have been diagnosed with tubal obstruction, you need to make an individualized treatment plan according to the location, degree of tubal obstruction, years of infertility, age, ovarian function and semen level of the male partner under the joint advice of your gynecologist and fertility physician, and if necessary, IVF assisted conception as soon as possible to have a lovely baby.