My first post, desperate for advice. After reading MANY of the pregnancy threads I am still torn on what to do for my recently diagnosed hydrosalpinx. Sounds like many avoid the laparoscopic surgery because it can be risky with j-pouch. The idea of putting my pouch at risk is terrifying! BUT I would hate to invest in IVF (monetary, emotionally, physically) without treating it, knowing the decreased success rates. Essure not an option for me. Ladies, who has had their hydro removed/treated or underwent tubal ligation? What was your experience? How risky is it... really? Thanks for any advice! I got my j-pouch Dec 2001, and just found this site... hallelujah, finally people who understand what we go through!!!