The results of transcervical salpingography and tubal recanalization by means of modified Thurmond and Rösch's technique were reported. Proximal tubal obstruction was diagnosed in 20 infertile women by X-ray hysterosalpingography and/or laparoscopy. Our results showed that tubal recanalization was achieved in 19(95%) of 20 patients, four patients became pregnanCy following the procedure. Distal tubal diseases were seen in 8 of 20 patients. Follow up studies revealed tubal patency was maintained in 7(54%) of 13 patients. The mean radiation dosage received by the patient was 6.35mGy. Compared with Thurmond and Rösch technique the modified technique has the advantage of decreasing the time of fluoroscopy and is a safe, effective and simple method for the diagnosis and treatment of infertile women with proximal tubal obstruction.