The American College of Obstetricians and Gynecologists (ACOG) recently published a committee opinion for women of population risk to develop ovarian cancer. ACOG recommends that average risk women who are having gynecological surgery, such as removal of their uterus (hysterectomy) or having their tubes tied (tubal ligation), be counseled about the option of having their fallopian tubes removed (salpingectomy) at the same time, in an effort to reduce their risk of developing ovarian cancer. This recommendation comes after mounting evidence suggests that many ovarian cancers begin in the fallopian tubes.