[guided]The desired identity compares two different pairings, not $I_\varepsilon(a;u,v)$ with its own conjugate. Because the $L^2(\mathbb{R}^n)$ inner product is linear in the first entry and conjugate-linear in the second, the regularized version of $(u,\operatorname{Op}_h^w(\overline a)v)_{L^2(\mathbb{R}^n)}$ is
\begin{align*}
J_\varepsilon(\overline a;v,u)
=
(2\pi h)^{-n}
\int_{\mathbb{R}^n}\int_{\mathbb{R}^n}\int_{\mathbb{R}^n}
\chi_\varepsilon(x,y,\xi)
u(x)
\overline{
e^{i(x-y)\cdot \xi/h}
\overline a\!\left(\frac{x+y}{2},\xi\right)
v(y)
}
\, d\mathcal{L}^n(\xi)\, d\mathcal{L}^n(y)\, d\mathcal{L}^n(x).
\end{align*}
Now we take the conjugate of the operator output. The phase changes sign, the conjugated symbol $\overline a$ becomes $a$, and $v(y)$ becomes $\overline{v(y)}$:
\begin{align*}
\overline{
e^{i(x-y)\cdot \xi/h}
\overline a\!\left(\frac{x+y}{2},\xi\right)
v(y)
}
=
e^{i(y-x)\cdot \xi/h}
a\!\left(\frac{x+y}{2},\xi\right)
\overline{v(y)}.
\end{align*}
Thus
\begin{align*}
J_\varepsilon(\overline a;v,u)
=
(2\pi h)^{-n}
\int_{\mathbb{R}^n}\int_{\mathbb{R}^n}\int_{\mathbb{R}^n}
\chi_\varepsilon(x,y,\xi)
e^{i(y-x)\cdot \xi/h}
a\!\left(\frac{x+y}{2},\xi\right)
u(x)\overline{v(y)}
\, d\mathcal{L}^n(\xi)\, d\mathcal{L}^n(y)\, d\mathcal{L}^n(x).
\end{align*}
We now exchange the spatial variables. The map $T:\mathbb{R}^{3n}\to\mathbb{R}^{3n}$ defined by $T(x,y,\xi)=(y,x,\xi)$ is linear and has absolute Jacobian determinant $1$, so the measure $d\mathcal{L}^n(\xi)\, d\mathcal{L}^n(y)\, d\mathcal{L}^n(x)$ is preserved. The cutoff is symmetric, so $\chi_\varepsilon(y,x,\xi)=\chi_\varepsilon(x,y,\xi)$. The midpoint also survives the exchange:
\begin{align*}
\frac{y+x}{2}=\frac{x+y}{2}.
\end{align*}
After this change of variables, the phase $e^{i(y-x)\cdot \xi/h}$ becomes $e^{i(x-y)\cdot \xi/h}$, the factor $u(x)$ becomes $u(y)$, and $\overline{v(y)}$ becomes $\overline{v(x)}$. Hence
\begin{align*}
J_\varepsilon(\overline a;v,u)
=
(2\pi h)^{-n}
\int_{\mathbb{R}^n}\int_{\mathbb{R}^n}\int_{\mathbb{R}^n}
\chi_\varepsilon(x,y,\xi)
e^{i(x-y)\cdot \xi/h}
a\!\left(\frac{x+y}{2},\xi\right)
u(y)\overline{v(x)}
\, d\mathcal{L}^n(\xi)\, d\mathcal{L}^n(y)\, d\mathcal{L}^n(x).
\end{align*}
This is exactly $I_\varepsilon(a;u,v)$. The midpoint in the Weyl quantization is the structural reason the argument works: exchanging $x$ and $y$ leaves $(x+y)/2$ fixed, so the same quantization convention reappears after the adjoint operation.[/guided]