This case report is about an IVF nurse who was familiar the pros and cons of tubal ligation reversal vs IVF. She and her husband decided ligation reversal was a more appropriate path for them. She was a knowledgeable medical professional. She understood what it meant to have a tubal ligation. Many patients of all walks of life will have changes of heart as their lives change. Even medical professionals will make health care decisions for themselves that later may turn out to not be right for them. In her case, the surgical techniques of tubal anastomosis and microsurgical salpingostomy were used to repair the fallopian tubes.