Thinking About Tubal Reversal?
Many women have had some form of tubal ligation, or tubal sterilization, to prevent pregnancy on a more long term basis.
Most even call it permanent!
And this is, indeed, a great form of contraception.
Yet, what happens when one second guesses this decision? Regret? Circumstances change? Desires change?
That is when the idea of Tubal Reversal comes to mind, and the process and research begins. How can I get this done? What steps do I take? Where do I go? How much does it cost? What is the recovery like? What are the chances of success?
The Most Important Question You’re Probably Not Asking
There are many important questions to have answered as you go on this journey to restore natural fertility and create the possibility again for pregnancy.
If you’re considering a tubal reversal, you’re likely focused on one outcome:
👉 Getting pregnant
That’s the goal. And it’s a meaningful one.
But before you choose a surgeon, there’s a critical question you should be asking:
👉 “How many tubal reversals have you performed?”
And just as importantly:
👉 “How often do you perform them?”
Because here’s the reality:
- Most patients don’t ask
- Most providers don’t clearly answer
And that can have a direct impact on your chances of success.
👉👉👉See video at the end of this Blog to recap this important topic.
Why Tubal Reversal Is Different
Tubal reversal is not a routine procedure.
It is a microsurgical operation that requires:
- Precise alignment of fallopian tubes
- Delicate tissue handling
- Meticulous suturing under magnification
- Use of special instruments, and techniques, to ensure ongoing patency of tubes
Success isn’t just about completing the surgery—
It’s about restoring the conditions necessary for natural conception.
The Hidden Variable: Surgical Frequency
Many surgeons are trained to perform tubal reversals.
But very few perform them frequently.
In fact:
- Many providers may do a handful of cases per year
- Some may only perform them occasionally
Compare that to a specialized practice performing:
👉 10-12 tubal reversals per week
That difference is significant.
Why Frequency Matters for Pregnancy Outcomes
Microsurgery is highly sensitive to repetition.
Skills like:
- Tissue handling
- Suture precision
- Alignment of delicate structures
Are refined through continuous practice.
And like any technical skill:
- Performance improves with repetition
- And can decline when procedures are done infrequently
This pattern is seen across fields:
- Surgical research shows better outcomes with higher procedural volume
- Aviation requires ongoing repetition to maintain precision
- Manufacturing systems achieve better quality through continuous workflows
Think about this…
Would you fly on a plane knowing the pilot only flies 3-4 times per year?
Would you trust your computer repair to someone who usually works on appliances?
Would you draft to your NFL football team a tennis player who happened to play some football in high school?
👉 The takeaway:
Consistency and repetition directly influence results
What This Means for Your Chances of Pregnancy
Your goal is not just to “have the procedure done”
Your goal is:
👉 A successful pregnancy
And that depends on:
- Proper reconnection of the tubes
- Preservation of blood supply
- Minimizing scar tissue
- Technical precision at every step
Here’s the key difference:
- A low-volume provider may achieve good results in some cases
- A high-frequency specialist is more likely to achieve consistently higher success rates across all patients
Because success in tubal reversal is not binary—it’s probabilistic.
And small differences in technique can meaningfully impact those probabilities.
Why Most Patients Don’t Know to Ask
Most patients:
- Assume all surgeons offering the procedure have similar experience
- Don’t realize how much repetition impacts outcomes
- Focus on location, convenience, or initial consultation
And most providers:
- Don’t clearly distinguish between lifetime experience and current frequency
- May not emphasize how often they perform the procedure
What You Should Ask (Exactly)
Before choosing a surgeon, ask:
- “How many tubal reversals have you performed?”
- “How many do you perform each year—or each week?”
These answers will give you a much clearer understanding of:
- Surgical experience
- Current proficiency
- Likely consistency of outcomes
Our Approach
Our surgeons at A Personal Choice specialize in tubal reversal surgery and perform ~10-12 procedures per week.
That means:
- Continuous repetition of a highly technical procedure
- Ongoing refinement of microsurgical technique
- A consistent, systematized approach designed to support successful outcomes
- The office, operative suite, and staff are all in alignment in goals, perspective, and focus
The Bottom Line
When it comes to tubal reversal:
It’s not just about whether a surgeon can do the procedure—it’s about how often they do it.
Because your goal isn’t just surgery…
👉 Your goal is pregnancy.
And when that’s the goal:
You want a surgeon who performs this procedure regularly,
refines their technique continuously,
and is focused on optimizing outcomes every single time.
Because this isn’t just another procedure—
It’s your chance to grow your family.
Watch this TikTok video to summarize what this important topic means to you:
@apersonalchoice Experience matters! Here at A Personal Choice, we specialize in Tubal Reversal surgery. Dr. Harris explains why this is something important that you should consider when choosing your Tubal Reversal surgeon! #AP#APersonalChoicer#DrHarrisTRu#TubalReversalu#TubalLigation ♬ original sound – A Personal Choice 🩵🤎
