Before you complete the scheduling questionnaire and pay the scheduling fee you should be aware of several important items.
1. Tubal reversal scheduling fee is good for 90 days
Once you submit the scheduling scheduling questionnaire and pay the scheduling fee you should be ready to start scheduling your surgery within 90 days.
If you are unable to start the scheduling process within 90 days of submitting the questionnaire, you will be required to submit another scheduling fee when you are ready to schedule.
The scheduling fee is not refundable under any circumstance.
Sometimes patients will send us their two page tubal ligation report and we will tell them they are an excellent candidate for tubal ligation reversal. On rare occasions during the phone scheduling interview, we will discover a serious medical condition that makes the patient an unsafe candidate for outpatient reversal surgery under general anesthesia. If this occurs, we will decline to accept you as a candidate. The scheduling fee will not be refunded.
It is your obligation to call us to discuss any medical conditions you are concerned about. Our staff is available and will readily answer the phone or respond to email.
2. Your Body Mass Index must be below 37
For maximal surgical safety and for optimal pregnancy health your Body Mass Index (BMI) must be below 37. BMI is calculated using your height and your weight. Exceptions are NEVER made.
You can calculate your Body Mass Index using our BMI Calculator.
If your BMI is above 37, you should not pay the scheduling fee because we will not be able to place you on the surgical schedule. If your BMI is above 37 then you should delay scheduling surgery until your BMI is less than 36.9.
All patients will have their BMI officially calculated at the time of their pre-operative consultation. If your BMI is 37 or above at the time of your consultation then you will not be allowed to have surgery. This policy exists for maximal safety during outpatient surgery.
Some patients will provide an inaccurate height or weight during scheduling and will be over BMI on the day of the consultation.
If you are over BMI on the day of consultation your surgery will be cancelled and you will lose your surgical fee. We will never make an exception under any circumstance.
3. Patients with high-risk conditions need a pre-operative consultation before scheduling
A mandatory pre-operative consultation (in person or over the phone) is required for patients who have high risk conditions that can adversely impact pregnancy success.
This consultation is required before a patient can schedule surgery.
The most common reasons a patient would need a mandatory consultation are:
- History of endometrial ablation (procedure to burn lining of the uterus to decrease menstrual flow
- History of uterine artery embolization (procedure to block the uterine arteries to prevent life threatening bleeding)
- History of deep vein thrombus (DVT) or pulmonary embolus (PE) or blood clotting disorder requiring anti-coagulation (blood thinners) before, during, or immediately after surgery
If you have had an endometrial ablation or uterine artery embolization procedure, have a history of deep vein thrombosis or pulmonary embolism, or require prescription blood thinners before, during, or immediately after surgery and would like a tubal reversal then you are required to have a mandatory pre-operative consultation before you can schedule surgery.
You can find out more information about the mandatory consultation here:
Mandatory pre-operative consultation
If you have a history of endometrial ablation, deep vein thrombus, pulmonary embolus or require anti-coagulation before, during, or after surgery then you need to have a mandatory physician consultation before you can schedule reversal surgery.
4. Significant health problems
If you have significant health problems then you should call to speak with a nurse before submitting the scheduling questionnaire and paying the scheduling fee.
Significant health problems are defined as health conditions which can significantly impair your quality of life and for which you are under the continuing care of a physician.
If you have significant heart, lung, kidney, or neurological health conditions then call and speak with a scheduling nurse before submitting your scheduling fee.
5. Surgery fee payment
One of the most common reasons for not being able to secure your surgery date is failure to send payment for surgery after completing phone scheduling.
Your surgery date is conditionally scheduled and held after your scheduling interview. Your surgery is only considered firmly scheduled when the full surgery fee payment has been received by our office and your lab test results have been received and evaluated by our office. The full surgery fee is due within 24 hours of scheduling.
If you are unable to pay the full surgery fee within 24 hours of scheduling then you should not start the scheduling process until you are able to pay the surgery fee in full.
If you are financing surgery, you should obtain approval for financing and know the amounts you will be allowed to finance before scheduling surgery.
You can apply for financing directly from the financing companies listed on our website: Financing Reversal Surgery
6. Lab testing
A common reason for not being able to secure your surgery date is failure to send required lab test results to our office after completing phone scheduling.
Most patients will only require a simple Complete Blood Count (CBC) to have surgery. The CBC is to test for severe anemia. Mild anemia is common and is acceptable for reversal surgery.
Severe anemia will prevent you from being a candidate for surgery until the cause of the severe anemia is diagnosed and the anemia has been corrected. If you have a recent CBC from your doctor, we may be able to accept that test result. Depending on your medical history, other testing may be requested during the phone scheduling interview.
It is important that you complete any lab test requested by our nurses as soon as possible after completing phone scheduling.
7. Important policies
When starting the scheduling process you should be aware of several of our safety policies which require you plan accordingly before scheduling your surgery:
Responsible adult: An adult over the age of 18 must be with you at the time of your pre-operative appointment, the day of your surgery, during your hotel stay the night of your surgery, and the day of your post-operative evaluation.
Children: Minors under the age of 18 are not allowed in the facility.
Hotel stay: You are required to stay at one of the hotels listed on our website.
Body mass index: You are required to have a Body Mass Index (BMI) less than 37 at the time of your surgery. Your BMI will be officially calculated during your pre-operative consultation. You can calculate your Body Mass Index using ourBody Mass Index Calculator.
