Tubal anastomosis can be done at the age of 39 to conceive. Tubal anastomosis, also known as tubal reversal surgery, is a surgery that is required to reopen the fallopian tubes after tubal ligation and for fertility needs.39 year old women can have their occluded fallopian tubes opened through the surgery and thus conceive. However, tubal anastomosis usually results in adhesions that may affect the fertilization of the egg, so it is not necessarily a 100% guarantee of pregnancy. If you are planning to get pregnant with tubal anastomosis, it is advisable to undergo standardized examination and treatment as early as possible. After pregnancy, you need to follow the doctor’s instructions to do regular checkups to prevent the risk of complications, the probability of complications will be higher than that of older mothers.