Background: Tubal recanalization is a surgical procedure that aims to restore fertility in women who have had tubectomy in unforeseen circumstances or if the women desire to bear more children. This study aimed to evaluate the efficacy of open tubal recanalization, performed using microsurgical techniques, as a viable option in resource-limited settings for women seeking to reverse tubal ligation. It also assessed pregnancy rates post-procedure and analyzed demographic and operative factors. Material and methods: The present study was a retrospective analysis of 29 women who underwent tubal recanalization, in a tertiary care centre in Northern India over a period of 1 year. The women were followed up for a period of six months. Results: The main reason for sterilization reversal in our study was death of the only male child in 70%. The mean age of patients was 33.51years. Bilateral spill of dye during tubal recanalization was observed in 89% of patient. The post-operative tubal length was more than 5 cm in 51% of patients, and this group showed a statistically significant higher conception rate (p = 0.04). The most commonly performed anastomosis was ampullo-ampullary followed by isthmo-ampullary. Conclusion: Recanalisation is a technically simple, requires minimal resources, and can lead to favorable pregnancy outcomes. Success is influenced by factors such as the woman's age, time since sterilization, post-operative tubal length, and the site of the anastomosis.