This educational video discusses the diagnosis and management of bilateral tubal block in an infertile patient using hysteroscopy and laparoscopy. It begins with interpretation of the HSG findings and explains how hysteroscopic assessment of the tubal ostia can provide clues regarding tubal patency. The operative demonstration shows confirmation of tubal status with laparoscopic chromopertubation, followed by hysteroscopic tubal cannulation of the blocked tube. Viewers will learn how successful recanalization restores dye spill through the fallopian tube and may improve the chances of natural conception. The video highlights tubal cannulation as a simple, minimally invasive procedure that can help selected patients avoid expensive assisted reproductive treatment