Sterilization reversal is performed more frequently since the innovation of microscopic technics in tubal surgery. We analyzed 40 consecutive cases of reversal of female sterilization performed at the Medical College of Georgia from 1973 through 1980. We used a temporary intraluminal 2-0 nylon splint. Microsurgical technic was used in 17 cases (43%) and macrosurgical, in 15 (37%). Other technics included unilateral microsurgical (2), unilateral macrosurgical (1), unilateral microsurgical and contralateral implantation (1), salpingostomy (1), Peterson implantation (2), and cornual implantation (1). Pregnancy rates (longer than three months follow-up) for the microsurgery group and macrosurgery group were 80% and 33%, respectively. The ectopic pregnancy rate was 15% for the entire group.