Fallopian tube interruption is a common form of contraception in the United States. A significant portion of women who undergo these procedures are in their twenties and thirties. For a variety of reasons (eg, change in marital status, wish for additional children, death of children, religious concerns, psychological factors), many of these women later seek restoration of fertility through tubal anastomosis procedures. Using microsurgical techniques with minilaparotomy or laparoscopy procedures, surgeons are able to restore fallopian tube patency in many women. Positive surgical outcomes depend on the method of fallopian tube interruption, the type of tubal anastomosis performed, and the length of the fallopian tube segments being anastomosed.