A 32-year-old gravida 4, para 4, was seen at the University of Wisconsin Hospital in 1976 requesting reversal of her tubal sterilization. She had undergone a colpotomy with removal of 1.8 cm of each Fallopian Tube (confirmed histologically) in 1970. A laparotomy in 1975, for abdominal pain, resulted in the removal of a hemorrhagic ovarian cyst, but the pathology report did not mention the distal 1.8 cm of the right Fallopian Tube as being part of the surgical specimen. A short time later, 3 of the patient's children died in a house fire. At laparoscopy, the right tube was unencumbered, measuring 6 cm from the cornu to its blunt end. On the left, a short (less than 5 mm) segment of the tube at the cornu and a normal fimbrial segment were visualized. The intervening portion of the tube was absent. Laparotomy was undertaken with the intent of performing a left cornual-ampullary anastomosis, but, when the cornual segment was shaved, a definitive lumen could not be identified. Anastomosis of the left fimbrial segment to the right proximal fallopian tube as a pedicle graft was performed without the aid of magnification. Five 6-0 Dexon sutures were placed in a through-and-through manner involving secrosa, muscularis, and mucosa. A final 4-0 silk suture brought the two mesosalpinges together at the base of the tube. The patient was treated with dexamethasone and phenergan. 18 months following surgery, the patient conceived. A 9-month pregnancy ended in spontaneous labor and the vaginal delivery of a healthy infant.