In the February 2015 issue of Obstetrics & Gynecology, the American College of Obstetricians and Gynecologists Committee suggested that “removal of the fallopian tubes may prevent ovarian cancer”. The Society of Obstetricians and Gynecologists believes that tubectomy or tubal sterilization at the time of hysterectomy is safe and does not increase complications compared with hysterectomy or tubal ligation alone. Counseling on the risks and benefits of tubectomy for women undergoing routine pelvic surgery should include informed consent for both oophorectomy and bilateral tubectomy. Ovarian cancer has the highest mortality rate among gynecologic cancers; it has risen to fifth place in the ranking of female cancer mortality rates now. Ovarian cancer survival rates have not improved significantly in the last 50 years. The potential benefits of oophorectomy should be discussed by surgeons based on the proportional population risk of ovarian cancer among women. 2. Physicians should inform women considering laparoscopic sterilization that bilateral salpingo-oophorectomy provides effective contraception and should point out that this procedure also avoids tubal torsion as a disease. 3. For some patients, prophylactic tubectomy may prevent ovarian cancer. 4. More randomized controlled trials are needed to validate the use of tubectomy for the prevention of ovarian cancer. The committee calls on surgeons to use minimally invasive techniques. At this time, the benefits of tubectomy should not influence decisions about which method to use for hysterectomy sterilization. For example, the committee recommends that surgeons not shift from vaginal hysterectomy to laparoscopic hysterectomy just to perform a vasectomy. The Committee believes that approximately 75% of ovarian cancers and 90% of deaths due to ovarian cancer are caused by epithelial ovarian cancer, in contrast to the conventional view. In contrast to the traditional view that epithelial ovarian cancer originates in a small part of the ovary, recent studies suggest that epithelial ovarian cancer originates in the fallopian tubes and part of the endometrium. Studies also suggest that tubal ligation has a preventive effect on clear cell carcinoma of the endometrium. Fourth, cutting only the fallopian tubes – better results Based on current opinions about ovarian cancer, the committee believes that removing the fallopian tubes alone and leaving the ovaries intact may be more effective in preventing cancer than oophorectomy and bilateral tubal and oophorectomy. The latter leads to earlier menopause, increased risk of cardiovascular disease, osteoporosis, and cognitive impairment and was found in the Nurses’ Health Study and is associated with an increased risk of all-cause and cancer death exclusively.