WHO estimated that tubal factor contribute to about 30% of causes of total female infertility.Proximal obstruction at the uterotubal junction constiyutes 10% to 15%. Most common treatment considered for treatment for tubal infertility is (IVF). Although IVF is popular treatment for tubal infertility. But it is more costly and sometimes rejected by patients because of social or moral reasons Aims and Objectives: To analyse the success rate and pregnancy outcome in women of proximal tubal obstruction of hysteroscopic cannulation under laparoscopic guidance Methods and materials: It is Retrospective outcome analysis done in a private hospital. Women with bilateral proximal tubal obstructions as the only cause of infertility were taken in the study. Interventions: Laparoscopy – guided hysteroscopic tubal catheterisation . Results: Only the 1st spontaneous conception was considered .Of 49 women included , patients underwent successful tubal cannulation were 32 (unilateral or bilateral) .17 were unsuccessful.15 pregnancies occurred within 1 year of which 2 were ectopic pregnancies. Conclusion: Successful tubal cannulation led to significant improvement in pregnancy. Retrospective study to analyse the success rate and pregnancy outcome in women of proximal tubal obstruction of hysteroscopic cannulation under laparoscopic guidance.