Worldwide, tubal sterilization is one of the most frequently used methods of contraception. However, a significant number of patients subsequently regret their decision, especially after a change in family circumstances. Therapeutic options for women with a renewed wish for a child after tubal sterilization include methods of assisted reproduction, bypassing of the destroyed Fallopian tubes, and operative tubal reconstruction. Such refertilization procedures include approaches by laparoscopy or minilaparotomy. This review summarizes the current knowledge concerning the different therapeutic options, with special emphasis on the specific risks and chances of success.