PIP: A 38-year-old patient who had had a left ovarian cystectomy, partial salpingectomy, and laparoscopic cauterization of the right fallopian tube, underwent reanastomosis to attempt pregnancy. Only 3 cm of the left isthmic tubal segment were attached to the uterus; on the right, 7 cm of the distal fallopian tube was present, with the missing segment being at the uterine cornua; endometriosis was present at the site of cauterization at the right cornual area. After excision of the endometriosis, the surgeon performed anastomosis of the left proximal fallopian tubal segment to the right distal fallopian tubal segment without homotransplantation of the adnexa. The patient conceived in the 2nd cycle after hospital discharge. This new technique of tubal reanastomosis, which utilizes the patient's remaining fallopian tube segments, may give the microsurgeon another surgical option regarding tubal reanastomosis.