CONCEIVING THE NATURAL WAY

For patients who’ve undergone a tubal ligation but now desire more children, tubal reversal surgery is a more affordable alternative to in vitro fertilization.

It also allows couples the opportunity to conceive naturally – and without the additional concern of a multiple birth.

With today’s advanced surgical techniques and the skill of our experienced surgeons, tubal reanastomosis may be done as an outpatient procedure with a small incision and short recovery period.

Before your procedure. Your first step is a consultation with one of our physicians. The doctor will review your medical history, focusing on the type of tubal ligation you had. The majority of tubal ligations are reversible. You can discuss surgery scheduling with one of our experienced staff members.

During your procedure. You will arrive about 1.5 hours prior to your scheduled surgery time. Our nursing staff will help you get settled into the pre-op area. After changing into a surgical gown and placing a warm blanket over your lap, an IV will be started in your arm. The nurse and anesthesiologist will talk with you and address any concerns you have. Your CARE Fertility doctor will also greet you and answer any final questions. We want you to feel totally comfortable with the process. 

Next, you will be taken to the operating room. The anesthesiologist will give you some medication in your IV which will make you feel calm and relaxed before you go to sleep. The surgery lasts about 1.5 hours. 

After the procedure is completed, you will be taken to the recovery room.  Typically patients spend about 2 to 4 hours in recovery before going home.  The goal of our nursing staff in recovery is to manage your postoperative pain, make sure you can drink fluids and feel ready to go home. 

The recovery period. Recovery from a tubal reversal takes approximately 2 weeks. Most patients with jobs that are sedentary and don’t require any heavy lifting can return to work in 5 to 10 days.

In that time, you'll probably have some pain and tenderness around the incision. Your doctor will prescribe you pain medication. Patients often find that over-the-counter medication such as NSAIDs (Ibuprofen, Motrin, Aleve) and a heating pad are all they need after the first 72 hours.

You should also arrange for a post-op visit about 2 weeks after your surgery so we can review the findings and any future treatment plan.

Risks of tubal reversal surgery

All surgeries carry some risks, including anesthesia, bleeding, infection, and injury. Let’s talk about them.

Anesthesia. For a healthy woman, this risk is low. The board certified anesthesiologists who come to CARE Fertility to do your procedure will talk with you and fully answer any concerns and questions you might have prior to the procedure.

Bleeding. The typical blood loss from a tubal reversal surgery is just a few tablespoons of blood.

Infection. Every surgery carries the possibility of infection, but this is rare.

Injury to bowel or bladder. This risk is low in women who have not had multiple abdominal surgeries.

Increased chance for an ectopic pregnancy. Tubal pregnancy is possible, but unlikely. The incidence of ectopic pregnancy after a tubal reversal is 3% to 5%. If you are at least 2 days late for your menstrual period after your reversal, call our office for a pregnancy test.

Possibility of scarring of the tubes. The tubal lumen that are sewn together are quite tiny and occasionally, scar tissue may form during the healing process.

The cost of a tubal reversal for non-insurance patients is $9,000.

The $9,000 cost includes the surgeon’s fee, the facility fee, and pre- and post-operative telehealth consultations. Prepayment is required prior to scheduling surgery.

Not included in the above surgery cost:

• The fee for the initial consultation. This includes an initial Telehealth consultation and in-patient comprehensive examination and a pelvic ultrasound.

• Your prescreening bloodwork (prenatal panel).

• For patients with male partners, we recommend (but do not require) a semen analysis.

• Anesthesia

Financing Options

Patients have the option to pay the cost out over time through outside financing companies. Please contact us for more information regarding the finance options that may be available to you. There are additional financial assistance programs for patients who qualify. For more details, visit the following resources:
PatientFi

Future Family

Refund Policy

Here are frequently asked questions about refunds.

“What if I Cancel My Tubal Reversal Procedure?”

• If the surgery is cancelled more than three weeks in advance of the scheduled surgery, a $750 cancellation fee will be charged.  The remainder of your payment will be refunded.

• If the surgery is cancelled less than three weeks in advance of the scheduled surgery, a $1000 cancellation fee will be charged.  The remainder of your payment will be refunded.

“What if I Reschedule My Tubal Reversal Procedure?”

• If the surgery is rescheduled more than three weeks in advance of the scheduled surgery, there will be an additional rescheduling fee of $200.  This will be due at the time you reschedule your surgery date.

• If the surgery is rescheduled less than three weeks in advance of the scheduled surgery, there will be an additional rescheduling fee of $750.  This will be due at the time you reschedule your surgery date.

Your refund will be made in the original form of payment. Prepayments made by a finance company, i.e. Lending Club Financing, United Medical Credit, etc., will be credited back to the financial institution.

Fee schedule is subject to change at any time.

*Credit only (no cash refund) and does not include effortless IVF® cycle, egg or embryo donation, gestational carrier cycle, medication, or IVF cycle covered by insurance.