Hello there.... There are 2 options for fertility after tubal ligation, tubal reversal surgery and in vitro fertilization - IVF. Both of these are reasonable options and how the woman chooses to proceed should be based on an educated consideration of the pros and cons of each..... There are 5 important issues regarding tubal reversal surgery that need to be considered . The sperm quality of the male partner, tubal status, status of other possible pelvic conditions, female age, and egg quantity and quality.