The purpose of this study is to determine the advantages of surgical procedures performed on tubal sterility. The results of tubal reconstructive microsurgery are reported on the basis of the type of surgical procedure: lysis of adhesion (13 cases); terminal salpingoneostomy and combined procedures (23 cases); unilateral tubo-tubal anastomosis (1 case). Twenty out of 36 patients had adequate follow up: uterine pregnancy was achieved in 50% of patients who had a pure microsurgical lysis of adhesions and in 41.6% of patients who had a microsurgical salpingostomy. The ectopic pregnancy rate was 0%. The percentage of success in terms of uterine pregnancies obtained agrees with that of many other authors.