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Risks Of Tubal Reversal Surgery

safe-reversal-surgery-with Dr. MonteithAny medical procedure or surgery has risks.

We have demonstrated that tubal reversal surgery can be safely performed as an outpatient surgery.

Microsurgical tubal ligation reversal, as performed at A Personal Choice, is one of the safest surgeries with one of the lowest complication rates of all operations involving the female pelvic organs.

Reversal Surgery: Risks Of Reversing Tubes

There are two main risk related to reversal surgery: immediate surgical risks and delayed pregnancy risks.

The immediate surgical risks are anesthesia complications, major bleeding, injury to other organs, and surgical incision infections.

The delayed pregnancy risk are increased chance of ectopic (tubal) pregnancy.

Immediate Surgery Risks

A Personal Choice Complication Data

Our Quality Management team collects data on every patient and monitors reported surgical complications. Our reversal surgical complication data is as follows:

Blood Transfusion 0%
Major Incision Infections <0.5%
Minor Incision Infections <2%
Early Operative/Anesthesia complications <0.5%
Unanticipated MD Visit After Surgery <2%

Ectopic Pregnancy After Tubal Reversal

The main risk of tubal ligation reversal is the increased chance of an ectopic (tubal) pregnancy.

According to our Pregnancy Outcomes After Tubal Reversal Surgery  the ectopic pregnancy rate after tubal reversal at our center ranges from 10-15%.

Although ectopic pregnancy is a serious condition, our patients are provided an Early Pregnancy Monitoring Protocol  to follow with their local physicians. This protocol allows ectopic pregnancies to be diagnosed very early and treated with a medication called methotrexate.

Medical treatment with methotrexate can effectively treat most early ectopic pregnancies and can minimize the risks of ectopic pregnancy after reversal surgery.

Tubal Blockage After Tubal Surgery

The tubes can become blocked with scar tissue from the healing response after tubal reversal or tubal surgery. This will not happen for most women and we estimate the risk of tubal blockage after tubal surgery to be approximately 6%.

Summary: Surgical Risks Of Reversal

Tubal ligation reversal at A Personal Choice is an affordable option that allows women a chance to become every month and more than once.

There are risks to any surgery but in our experience the immediate risks of surgery at our center are small and the risk of ectopic pregnancy can be minimized by following our early pregnancy monitoring recommendations.


23 thoughts on “Risks Of Tubal Reversal Surgery”

  1. Kayla says:

    I’m KaylA i am 25 years old . I had my last child in 2015 ,also had my tubes clamped . I have DVT (deep vein thrombosis) .. developed it with my second child had one child after that with no complications. What are the risk factors and chances I’ll be taking? Would it be safe to get my tubes un clamped and try for another baby ?

    1. Dr. Monteith says:


      Any surgery or pregnancy is consider more at risk when a patient has a history of a blood clot.

      Reversal is possible as long as your hematology doctor does not recommend anticoagulation immediately before or during surgery. All patients with a blood clotting disorder have to get a letter of clearance for surgery before they can schedule. We have to provide the letter requesting approval because it asks your doctor specific questions about being on anti-coagaution medication (blood thinners) around the time of reversal surgery. This letter is provided after you start the scheduling process.

      If you are interested in scheduling tubal reversal then I recommend you call the office and speak with a nurse. They can answer many of your questions.

      If you would like to proceed then you would need to pay the on-line scheduling fee and answer the health questions. A nurse will then complete a phone scheduling interview with you. When patients report a history of having a blood clot or being treated with blood thinners we require them to obtain a preoperative clearance for surgery from their hematologist.

      During your scheduling interview, the nurse can provide you with a referral letter to your hematologist asking for their recommendations during tubal reversal surgery.

      If your doctor does not recommend anticoagulation (blood thinners) then you are okay to schedule reversal surgery.

      If your doctor recommends blood thinners before and after surgery then your doctor will have to provide these medications and instructions you on how to best use them. You will then need to complete a mandatory physician consultation with Dr. Monteith. This consultation can either be on the phone or in the office but will be at an additional cost of $250. This consultation is to discuss the risks of having surgery, risks of surgery while being on blood thinners, and the risks of traveling after surgery.

      If your doctor recommends you be on a blood thinner during surgery then we would not consider you a candidate for surgery at our center.

      We charge $6400 total plus $125 to schedule and we are located in Raleigh, North Carolina. Insurance will not pay for tubal reversal surgery.

      You should send us your tubal ligation records for a free review.

      Patients pay in full and out-of-pocket at the time of scheduling. All you have to pay for in addition to the surgical fee is the cost of travel, hotel, and food. Patients stay in Raleigh a total of 2 nights and 3 days. The consultation is the first day, surgery the second day, and postoperative visit is the third day.

      We do have a prepayment tubal reversal plan that allows you to save towards your reversal over a 3 year period.

      Although $6,400 seems expensive…the alternative treatment in-vitro fertilization (IVF) average $12,000 to $14,000 and is about 40% successful!

      The main advantage to tubal reversal is that every month you have a chance and you can become pregnant more than once. On average, about 2 out of every 3 women become pregnant with tubal reversal surgery.

      Call us at (919) 977-5050 8am to 5pm eastern standard time and we would be happy to speak with you about reversal surgery at our center.

      The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question: Frequently asked questions about tubal reversal

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