Surgery can be useful in selected cases of tubal infertility and may have a complementary role for some women undergoingin vitrofertilisation (IVF). Salpingectomy for women with large hydrosalpinges can improve the success rate of IVF. There is little evidence that laparoscopy offers any advantage over laparotomy for tubal surgery. Structured training in reproductive surgical techniques is of critical importance. Learning objectives: To understand the selection criteria for tubal surgery and evaluate the supporting evidence. To understand the limitations of the existing evidence. To be able to counsel infertile couples appropriately. Ethical issues: Couples seeking fertility treatment may receive unreliable or biased information when considering tubal surgery. Is it ethical to perform tubal surgery on women with a low chance of success simply because they are unable to have IVF? Please cite this article as: Siassakos D, Syed A, Wardle P. Tubal disease and assisted reproduction.The Obstetrician & Gynaecologist2008;10:80–87.
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