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To determine ifpregnancy rate is higher in females after laparoscopic restorativeproctocolectomy with ileo pouch anal anastomosis (IPAA) compared to open.A questionnaire was sent to all female patients over 18 years that underwent IPAA surgery under age 41 in two centres between 1993 and 2009.Ninety-five (86%) of the 111 patients responded. Following surgery, 28 (30%) patients attempted to conceive. Twelve (43%) patients underwent open and 16 (57%) underwent laparoscopic surgery. Median age at attempt to conceive was 29 (IQR 27-33). Cumulatively, of the patients that underwent open surgery, after 6 months and 1 year 4 (33%), and after 3 and 5 years 6 (50%) werepregnant. Cumulatively, of the 16 laparoscopically treated patients, after 6 months 7 (44%), after 1 year 9 (56%), after 3 and 5 years 12 (75%) werepregnant. Log rank between the groups showed no significant difference (P = 0.133). In the Netherlands the meanpregnancy rate at age 29 is 87% after 1 year; this is significantly higher compared to patients following laparoscopic or open surgery, P = 0.003 and P < 0.001, respectively.There is no significant difference in fecundity after laparoscopic or open IPAA surgery. Pregnancy rate is lower compared to general population.