Appendectomy is significantly associated with an increased risk of ectopic pregnancy but not significantly associated with future infertility in women. Till recently, an appendectomy has been also thought to be one of the causes of tubal factor infertility (TFI). A clear path and healthy fallopian tubes are needed for the sperm to reach the egg and fertilize it. The fallopian tubes can be damaged or blocked by pelvic inflammations, inflammation of the appendix, and even scar tissue resulting from appendicitis. Indeed, even if the tubes were to get dented or blocked by scar tissue, simple laparoscopic surgery could restore the tubes and thus the fertility. If the tubes are severely damaged, in vitro fertilization (IVF) can be performed.