**2.3. Is surgery better than IVF?**

**Logicstudies:** Microsurgical reversal of sterilization is a highly cost-effective strategy when compared with IVF for women aged 40 years and above (2).

**Illogic studies**: some over enthusiastic studies demonstrated that endoscopy is much better than ART. In a bizarre study, Marana et al. (3) included 43 patientsand subjected them to diagnostic or operative laparoscopy. Nine of themwith submucous-intramural or multiple intramural fibroids underwent miomectomy by minilaparotomy following hysteroscopy and chromopertubation. The mean length of follow- up was 49 months (range: 11 to 118 months). They reported a very high pregnancy rate as 61 became pregnant (40%).
