Abstract: Tubal factors are the most infertile causes in female infertile women, including the proximal tubal obstruction, tubal sterilization, and distal fallopian adhesion, atresia and hydrosalpinx. Although assisted reproductive techniques have dominated in reproductive medicine at present, the reproductive surgery still plays a irreplaceable role. Comprehensively considering the age, ovarian reserve, tubal function after reproductive surgery and the partner′s semen parameters, the individualized reproductive surgery can be performed in those patients with surgery indications. The endoscopic surgical treatment not only usually brings satisfactory outcomes in the clinical pregnancy rate and the live birth rate, but also restores the potence of natural fertilization in some patients, which meets the fertility policy of China. Different procedures of endoscopic surgery , according to the different tubal lesions, can be selected, mainly including the proximal fallopian tube anastomosis, the tubal catheterization, the middle fallopian tube anastomosis, tubal adhesiolysis, fimbrioplasty, salpingostomy, salpingectomy and ligation.

Key words: Infertility, female, Fallopian tube diseases, Fallopian tube obstruction, Sterilization, tubal, Tubal endoscopic surgery