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Surgical infertility treatment overview Fertility surgery involves an operating procedure for men or women to correct a structural issue causing infertility, which may be due to a condition. Some causes of infertility in women that can be corrected by surgery include endometriosis, fibroids, polyps and other problems in the reproductive organs. For men, fertility surgery can treat varicocele or reverse a vasectomy. Hysteroscopy or laparoscopy are the two most common surgical approaches for female fertility surgeries.