Diseases of the uterine appendages have always had a prominent place in the etiology of infertility. These were inflammatory and neoplastic processes resulting in changes which in most cases were already detected by bimanual examination, such as various types of saccosalpinx, tubal fibromas, salpigitis nodosa, cystic ovarian changes, tubal-ovarian cysts, etc. The mechanism of infertility in such changes is clear, but only with the introduction of Rubinʹa method into gynecological practice did the actual role of the Fallopian tubes in the origin of infertility become clear, or rather, began to become clear.