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Getting Started

GETTING STARTED
AN OVERVIEW

1. Review the most frequently asked questions

We have compiled a list of most frequently asked questions that should answer many of the questions you have when you first consider having surgery at A Personal Choice.

For more information: Frequently asked questions when considering reversal surgery


2. Call for a free phone consultation

We can help determine if you are a candidate for tubal reversal surgery, explain the entire process, and answer any questions you may have when you call for a free phone consultation with a Tubal Reversal Staff member.

For more information about our tubal surgery consultations: Tubal surgery consultation


3. Send your tubal ligation report for a free evaluation

You can send your records about your tubal ligation surgery or tubal blockage to us for a free evaluation. We will review them and confirm if you are a candidate for tubal surgery.

For more information about requesting and sending records: Sending tubal ligation records


4. Pay scheduling fee and schedule your surgery

After paying your $150 scheduling fee it only takes a 20-minute phone call to have a scheduling nurse interview you and schedule your surgery date. This fee can conveniently be paid by credit card.

For more information about scheduling: Detailed step-by-step guide to scheduling surgery


5. Complete the registration forms

After your scheduling interview is completed, you will be sent a confirmation email which will contain: a Patient Responsibility Statement, What To Expect brochure and Registration Packet. This information will educate and prepare you for surgery at our center. The signature pages of these documents should be signed and returned to our office.


6. Pay surgery fee

The surgery fee must be paid in full within 24 hours of scheduling. Only after payment is received will your surgery date be confirmed. The surgery fee can be paid with cashiers check, money order, credit card, or bank to bank wire transfer.


7. Obtain the pre-operative lab testing

We have greatly simplified the required testing for tubal reversal. We only require a complete blood count. We can order this lab test for you during your scheduling interview or your local doctor can order this test for you. This testing must be done within 90 days of surgery and the test results need to be faxed to our office.

If you have a complex medical history additional lab testing may be required and this will be discussed during your scheduling interview.


8. Make hotel and travel arrangements

Our office is in Raleigh, North Carolina, is conveniently located, and easily accessible by most airlines and Amtrak train. We are a short drive by car from all major cities on the East Coast and central US.

All patients who come for surgery stay at either the Hyatt House Raleigh North Hills or the one of the alternative hotels listed on our website.

More information: Where to stay when having reversal surgery with Dr. Monteith?

All hotels are located close to our office and the Hyatt House Raleigh North Hills is located in the trendy North Hills Mall in mid-town Raleigh and both are close to our specialty center.

The Hyatt House Raleigh North Hills offers patients of Dr. Monteith special room rates. In order to receive this special pricing, we recommend you make your hotel reservations with the hotel reservation email link which will be emailed to you after you schedule your surgery date.


9. Your operation

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.

Our team uses surgical techniques, which maximize your chance of having a successful surgery with the results you deserve. Our one-hour reversal operation results in more comfort, faster recovery, and avoids the need for unnecessary hospitalization.


Do you have additional questions?

If so contact us at (919) 977-5050 and we can provide you with answers. To start scheduling: Detailed step-by-step guide to scheduling surgery

Get Your Free Consultation Today

Looking to get pregnant or repair blocked tubes? Considering a vasectomy reversal? Take the first step.
Get personalized attention and evaluations for free.

What Our Patients Are Saying

“We had our surgery on 3/18/15 and on 02/02/16 our 7 pound 11 oz baby girl was born! I’m 34 years old and had tubal ligation done via clamps 8 years prior so this surgery really does work! 8 years later I had the reversal and 9 years later we were blessed with our little girl! So many doctors tried to talk us out of it-wanted us to do IVF to get our money-however praise God we went with this because it does WORK! Dr M is amazing and his staff! The area is beautiful where his office is, and if you do this procedure it will be the best money you ever spend!”

– Charlee-Belle M., Surgery

“From the very first phone call, the staff at A Personal Choice has been amazing! They have answered our numerous questions, concerns and have been amazing. They never give you false hope, but give you the complete story. I am so happy that we chose Dr. Monteith and his staff to make our dreams a reality. Can’t wait to start trying to have a baby. I would and have recommended Dr. Monteith to ANYONE wanting a tubal ligation or vasectomy reversal. Thank you all so much for giving us this chance!”

– Angela W., Essure Reversal

“Excellent service overall! Each stage of the process was carefully explained in great detail: how the procedure works, what to expect during the procedure, what to expect after, possible side effects. Dr. Monteith himself is very knowledgeable and experienced and quite personable too. He has a great sense of humor and uses it generously to put patients at ease. I highly recommend him and his staff to anyone considering either a vasectomy or a vasectomy reversal.”

Chris B., Vasectomy Reversal

“The perfect little angel that I’m holding in my arms right now is the best testament to what Dr. Monteith and his staff do for people. We could not be happier with our decision to use Dr. Monteith. His staff are just amazing. Our entire experience was just a dream! Thank you, from the bottom of our hearts, thank you!”

Jamie B., Reversal of Cut & Tied Tubes

GET IN TOUCH WITH US

Ask The Doctor

Your questions about reversal surgery will be answered directly and promptly by Dr. Monteith. Please read our most frequently asked questions before submitting your questions. Dr. Monteith will not respond to general medical questions or if you are a patient of another doctor and are contacting him because your doctor is unavailable.* If you have been a patient at our reversal center and have specific questions about your medical care you should contact the reversal staff directly at (919) 977-5050.

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

Have Questions? Leave a comment here or visit our contact page.

155 Comments

Miranda Reply

I’ve had 4 c sections and after the last one in 2009 I had my tubes tied, is it possible for me to have this surgery done and still be able to concieve and give birth.


    Dr. Monteith Reply

    Miranda
    We should be able to reverse your tubes. You should consider our screening laparoscopy because of your history of c-sections and the possibility of scar tissue.

    We charge $6,400 for tubal reversal surgery. You should send us your records from your tubal ligation for a free review. Sometimes patients cannot get their records. Even if you cannot obtain your records we would perform tubal reversal for you because we can reverse most tubal ligations most of the time.

    Please be aware starting April 1st 2019 the cost for tubal reversal surgery will increase to $6,900. The scheduling fee will increase from $125 to $150.

    Tubal reversal can be 60% to 70% effective. The other treatment to become pregnant is In-vitro Fertilization (IVF) and this treatment cost averages $14,000 and is about 40% effective for each try.

    Tubal reversal is possible when you have a history of multiple c-sections. We have many patients who have successful reversal and pregnancy with a history of c-sections. The biggest concern with multiple (3 or more) c-sections is the possibility of severe scar tissue. If severe scar tissue exists then reversal may not be possible.

    We estimate that about 1 out of 12 women with 3 or more c-sections will have severe scar tissue that can make tubal reversal more challenging and in some cases not possible. For these patients we offer a screening laparoscopy. You can consider this similar to a surgery insurance policy.

    The laparoscopy costs an additional $1,500. The screening laparoscopy fee will increase from $1,500 to $1,750.

    If you choose to have a screening laparoscopy we can look with a camera during the surgery and see if you have severe scar tissue. If you have severe scar tissue we can often make a different incision…so this can increase the success of your procedure. If your tubes are not repairable or the scar tissue is too severe then we would offer you a refund of your surgical fee.

    For more information: Screening laparoscopy and surgery refund

    For more information: Screening laparoscopy and scar tissue

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


LALINDA TURNER Reply

IM 45 years old ,got 4 children today healthy and alive , yet we had our life taking away .my children father was murder in 2014 and I been hurting ,empty in the inside life has been unknown .AND HONESTLY I GOT MY TUBES TIED WITH OUR LAST DAUGHTER IN 2003 .NEVER THOUGHT ABOUT LOSING HIM OE EVEN WANTING ANOTHER BABY.But I’m going threw this feeling cause I’m in love again and I want a miracle baby by my fiancé ‘I FEEL COMPLETE YET I WANT ANOTHER BLESSING ,IM ASKING IS IT POSSIBLE FOR ME TO GET MY TUBES UNTIED AND BE BLESSED A BUNDLE OF JOY ONCE AGAIN IN MY LIFE?


    Dr. Monteith Reply

    We should be able to help you with tubal reversal but it is harder to become pregnant with increasing age so I would not delay your decision for too long.

    We do have many patients who become pregnant with tubal reversal after age 40. Most of the women who become pregnant after reversal are between the age of 40 and 43.

    We charge $6400 total plus $125 to schedule and we are located in Raleigh, North Carolina.

    Please be aware that starting April 1st 2019 the fee for reversal surgery will increase to $6,900 and the scheduling fee will increase to $150. If you want to avoid the higher fees then you should schedule your surgery before April 1st or start a Reversal Prepayment Account.

    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.

    The alternative treatment is in-vitro fertilization (IVF). Most IVF doctors will recommend you use donor eggs after the age of 42. A single cycle of IVF averages $14,000 and average success is 38% for each try. After age 40 IVF success decreases quickly.

    For more information: Tubal reversal and age

    If you would like to get started then the best first step is to send us your tubal ligation records for a free review. Your tubal ligation records can be obtained from the Medical Records Department in the hospital where your tubal ligation was performed. Occasionally your doctors office may have the records. Sometimes patients may not be able to obtain their tubal ligation records. We can still proceed with surgery without records because we can reverse most tubal ligation procedures.

    To see more the success stories of older moms visit: Successful tubal reversal after age 40

    Here is a testimonial you may be interested in: “We Had Given Up” Tubal Reversal Mom Age 47

    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

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


Patricia Reply

I writing your company am want give my hubby a child this is my problem am 54 years old still have period yes my last child was in 2000 and i have my self check my obyg say i can still have children its great because my hubby dont have any children and he is only child and grandchild in his family i want give her a child. its only right so please help with this problem thanks


    Dr. Monteith Reply

    Patricia
    The chance of natural pregnancy at age 54 is less than 1%. Your best chances would be IVF with donor eggs. The IVF doctors will not let you use your own eggs after the age of 42 or 43.

    We should be able to help you with tubal reversal but it is harder to become pregnant with increasing age so I would not delay your decision for too long.

    We do have many patients who become pregnant with tubal reversal after age 40. Most of the women who become pregnant after reversal are between the age of 40 and 43.

    We charge $6400 total plus $125 to schedule and we are located in Raleigh, North Carolina.

    Please be aware that starting April 1st 2019 the fee for reversal surgery will increase to $6,900 and the scheduling fee will increase to $150. If you want to avoid the higher fees then you should schedule your surgery before April 1st or start a Reversal Prepayment Account.

    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.

    The alternative treatment is in-vitro fertilization (IVF). Most IVF doctors will recommend you use donor eggs after the age of 42. A single cycle of IVF averages $14,000 and average success is 38% for each try. After age 40 IVF success decreases quickly.

    For more information: Tubal reversal and age

    If you would like to get started then the best first step is to send us your tubal ligation records for a free review. Your tubal ligation records can be obtained from the Medical Records Department in the hospital where your tubal ligation was performed. Occasionally your doctors office may have the records. Sometimes patients may not be able to obtain their tubal ligation records. We can still proceed with surgery without records because we can reverse most tubal ligation procedures.

    To see more the success stories of older moms visit: Successful tubal reversal after age 40

    Here is a testimonial you may be interested in: “We Had Given Up” Tubal Reversal Mom Age 47

    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

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


Allison Reply

What would be the soonest appt for surgery?


    Dr. Monteith Reply

    We typically schedule 3 to 6 weeks out from the time you call, schedule, and pay in full.


Holly Reply

Hello. I am looking to have this done but feel like I may be pushing the BMI (36.6) and need to lose weight before surgery. Can you tell me the BMI requirements and if I can start a payment plan before I hit the BMI or if I need to be below it before I can?


    Dr. Monteith Reply

    Holly
    It will be critical that when you arrive for surgery that your BMI be below 37. Some people try to cut it close, come in over the BMI, and if that happens your surgery would be canceled.

    We require your BMI to be less than 37 to have surgery at our center.

    You can check your BMI with our BMI calculator here: BMI Calculator

    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 charge $6,400 total for surgery plus $125 to schedule.

    Please be aware starting April 1st 2019 the cost for tubal reversal surgery will increase to $6,900. The scheduling fee will increase from $125 to $150.

    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.

    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

    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.