Reversing your tubal ligation is a major surgery that is most frequently performed by laparotomy, through an incision in the abdominal wall. It is a lengthy procedure that often requires the use of a surgical microscope (called microsurgery). You can expect a stay in the hospital and a few weeks off from work. It will be several weeks before you can resume your normal activities. Undergoing IVF to conceive can help avoid extensive tubal ligation reversal surgery.