Sterilization is a very common mean of controlling birth. However, the major reason for sterilization reversal is the desire to get more children. The operation to reverse sterilization which is a permanent form of contraception is referred to as reversal of sterilization.  This permanent surgery employs the usage of a very thin microsuture to ensure the carefully putting of the tubes back together and is more involved compared to the operation which is performed for the sterilization. Many women who opt for reversal of sterilization may be because of change of financial or marital status, religious or traditional beliefs, loss of a child among many other factors. Some may need a certain sex of a child, maybe a boy or a girl hence opting for this to reverse the sterilization process.

There are several surgical approaches available to reverse sterilization. Reversal of sterilization can be performed via mini- laparotomy incision in the lower abdomen or by laparoscopy. Robot can be used as well. In case the procedure is finished by laparoscopy or done robotically, patients are permitted to go back home the same day and take less time to heal when compared  to min-laparotomy which may require the victim to stay in hospital for at least two to three days alongside restricting the daily activities for  not less than four weeks.

Sterilization reversal success depends on various factors which include the length of the fallopian tube that remains after the sterilization process and the use of the tying as well as the techniques that are used in sterilization as well as the surgeon experience or expertise. The partner sperm parameter as well as the female chronological age is also very crucial prognostic indicators. Women should be very much aware of the risk of ectopic pregnancy after reversal of sterilization apart from the risk which may be associated with either of the surgery.

There are several methods of sterilization. These techniques can be grouped into categories such as litigation or resection, clipping or ring as well as electro coagulation. Litigation is the most widely used method and is provided with descriptions as well as the pregnancy rates after reversal of sterilization. Reversal of sterilization is very costly. For instance the average cost of having this process done is between ten thousand dollars to fifteen thousand dollars. In most cases, this operation is not catered for by the health insurance hence one is responsible for all the cost. However, there has been elimination of the high cost as well as the need for hospitalization as a result of specialty center being created exclusively for reversal of sterilization. More couples can therefore now be able to afford for this process due to lower cost.

Those having sterilization, even though a reverse of it is possible, it should be clearly noted that surgical sterilization has risks just like any other abdominal operations. These risks include loss of blood through bleeding, injury to internal organ as well as infections. Long term risk may be the unwanted pregnancy.