Gamete intrafallopian transfer (GIFT) begins with the same first two steps as IVF. The difference is that the sperm and eggs are placed directly into the fallopian tube during laparoscopy instead of being fertilized in the laboratory. Patients may choose to use GIFT for religious reasons that prohibit fertilization outside the body. A few of the major disadvantages of GIFT is that it does not confirm fertilization of the eggs, it is usually done under general anesthesia and it involves laparoscopy.

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