After tubal ligation After you have had a tubal ligation it is totally possible to attempt to initiate a pregnancy again. You can undergo a reversal of the tubal ligation in some circumstances depending on how the original surgery was carried out. The other option is to undergo an IVF cycle, which totally bypasses the tubes altogether by taking the eggs from the ovary, making embryos in the laboratory and then transferring them directly into the uterus. A consultation with one of our doctors will allow us to determine the best possible treatment for you and help you on your way.