Five to 20% of women regret having a tubal ligation, of which 1-2%requesta reversal of sterilization. [1]. These women are generally otherwise fertile and have a better chance of pregnancy than other patients experiencing infertility, whether by in vitro fertilization (IVF) or after tubal surgery [2,3]. The choice between the two techniques must take into account the patient's age, the date of the last pregnancy, the ovarian reserve and the partner's semen quality [4]. Historically, tubal anastomosis surgery has long been performed by microsurgery through laparotomy, which provided very high precision but was associated with some degree of morbidity [5]. The parallel development of in vitro fertilization and laparoscopy have contributed to reducing the indications for tubal surgery. The laparoscopic approach is challenging because of the number and precision of the sutures needed [6]. The robot-assisted laparoscopic approach may reduce the surgical difficulty and improve the accessibility of this technique [7].

The objective of the present work was to describe the technique of robot-assisted laparoscopic tubo-tubal reanastomosis after sterilization in 10 steps and assess its value.