Follow Us:

“Thank you so much for making it possible to bring these two amazing people into our lives.”

– Saratoga Springs, New York

“You are my heroes. We can never thank you enough.”

– Ontario, Canada

We have been so blessed to bring another tubal reversal baby into our family.

– Buckatunna, Mississippi

“Ivy is our second Monteith Miracle!”

– APO, Armed Forces Europe

“It was a leap of faith and we have had a blessed journey.”

– Colorado Springs, Colorado

“Thank you for making our dreams come true!”

– Nebo, North Carolina

Our Facilities

Warm and inviting, our state of the art surgical facility offers safe, affordable & personalized tubal reversal surgery. Dreams of starting a family become a reality here.

Learn More

Ask The Doctor

Your questions about tubal ligation will be answered promptly either by phone or email. Read our most FAQs before submitting your questions.

Contact Us

Traveling From Washington State For Tubal Reversal With Dr. Monteith


Candice with Dr. Monteith the day after her surgery.

Candice is from Washington state and she traveled 2873 miles to have her tubal reversal surgery at
A Personal Choice.

Candice had a unique tubal ligation ‘situation’…or so we thought.

As a result of her tubal ligation problem, she felt it was better to have reversal at a center that specializes in tubal reversal surgery rather than take her chances with a doctor who does reversal surgery infrequently.

Candice traveled with her mother. Both of them were wonderful people and Candice agreed to share her story for the benefits of others.

Tubal ligation: Reviewing Tubal ligation surgery reports

Candice is 29 years of age and is the mother of two children. She is a nurse and had a tubal ligation at the time of her second c-section. Candice, like all of us, cannot predict the future. She changed her mind after her tubes were tied and wanted to have more children. It was then she began to investigate tubal reversal surgery.

She sent us her tubal ligation records and we soon discovered a discrepancy between her tubal ligation operative report and her pathology report. According to the operative report the doctor dictated they performed a standard ligation and resection (tied and cut) type of tubal ligation. There was nothing unusual in her operative report.

Unfortunately the pathology report stated one of the tubal segments had fimbrial tissue…or the end of the tube. The path report suggested a fimbriectomy tubal ligation was performed!

Difficult tubal ligations: Our Experience

Fimbriectomy tubal ligations can be challenging to reverse. The pregnancy success rate after fimbriectomy reversal ranges from 15% to 40%. Thankfully fimbriectomy tubal ligations are not common.

What was unusual about Candice’s situation was the doctor did not dictate performing a fimbriectomy operation. What was unusual about the pathology report was only one tubal segment indicated fimbrial tissue…not both tubal segments.

In our experience, a doctor who performs fimbriectomy tubal ligations usually does both tubes that way…not just one. If the doctor only performs fimbriectomy on one tube then it is usually because of severe scar tissue. To complicate matters, we do see operative notes that are inaccurate.

Usually the pathology reports are the most reliable; however, we have seen incorrect pathology reports. If the doctor removes a section of the tube near the end of the tube, then this tube can turn ‘inside out’ and look like fimbrial tissue to someone who is not examining the tissue carefully.

In Candice’s situation it was difficult to tell exactly how her tubal ligation procedure was performed.

Tubal ligation reports reviewed: Now what?

We advised Candice she could come for tubal reversal and we should be able to repair at least one tube. We encouraged her to consider a screening laparoscopy.

Our practice is the only reversal center offering laparoscopy. Patients can choose to have a screening laparoscopy for an additional $1,500. If their tubes are not repairable then the patient has a much shorter surgery and receives a full refund of the tubal ligation portion of the surgery fee. We feel a screening laparoscopy can be a very helpful ‘tubal reversal insurance policy‘ for many patients who may have these unique tubal ligation ‘situations‘.

More information: Advantages of screening laparoscopy during tubal reversal

Screening laparoscopy allows us to look at the tubes using a camera inserted through the belly button. If the tubes can’t be repaired the surgery is much shorter and we can close the incision using a single suture and a band aide. If the tubes cannot be repaired the patient gets a major refund. As a tubal reversal specialist, I like laparoscopy because it allows me to have a very careful discussion with the patient before surgery about what situations they want me to proceed or not proceed  with a tubal repair.

In Candice’s case, she was very clear with me about what she wanted to be repaired. This allowed me to be confident I was doing what she wanted to be done. It also allowed me and the patient to make a calculated decision about the probability of tubal reversal success. If a patient has a bad tubal ligation then getting $6,400 refunded to them will go a long way towards helping pay for the second best treatment after tubal ligation – in vitro fertilization (IVF).

How did things go?

During the screening laparoscopy we saw that her tubes were cut and tied in the middle. She did not have a fimbriectomy tubal ligation. Her pathology report was inaccurate. We were able to successfully repair her tubes and her tubes were in excellent shape and very long.

Seattle Seahawks First…Tubal Reversal Surgery Second

Traveling from washington to raleigh nc for a specialist tubal reversal surgery.

Candice traveled 2873 miles to have tubal reversal at our center!

Candice is from the Seattle area. She was very kind and brought a very nice gift to the preoperative consultation. She gave me an amazing Seattle Seahawks shirt! She was worried I may not have been a Seahawks fan because it would have been rather awkward if I was a die-hard 49ers fan!

Little did she know I love the Seahawks!

My three favorite teams are Carolina Panthers, Dallas Cowboys, and Seattle Seahawks. The Seahawk’s quarterback, Russell Wilson, played for North Carolina State and I think he is an amazing human being because of the things he says, the sportsman/gentleman he is, and his North Carolina roots!

Submitted by

Need More Information About Tubal Reversal?

A Personal Choice Tubal Reversal Center is in Raleigh, North Carolina and specializes in tubal ligation, Essure, and vasectomy reversal surgery.

Dr. Monteith specializes in helping couples have more beautiful children with reversal surgery and helping women treat abnormal symptoms after their tubes have been tied!

If you would like more information about reversal, including the cost and success rates, then enter your email address below and you will be emailed more information about reversal.

  • This field is for validation purposes and should be left unchanged.

Join Our Facebook Group?

Women who need more advice about reversal are encouraged to join A Personal Choice’s public Facebook group:

Facebook Tubal Reversal Group of A Personal Choice

By joining the group you can communicate with other women who have had successfully reversed their tubal ligation and restored their natural fertility.

Have Questions? We’re Happy To Help!

We provide a unique surgical experience with personalized attention and one-on-one care. We make every effort to make your surgery less of a process and more of a life’s experience. Please use the buttons below for answers to our frequently asked questions.

Have a Question? Drop Us A Line!

If you are considering reversal surgery and have questions about the procedure, fill in the form below and we'll get back to you as soon as we can! If you would like to speak with a nurse for a Free Consultation then feel free to call us at (919) 977-5050.

Please view our most frequently asked questions before sending your questions.

  • This field is for validation purposes and should be left unchanged.