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Prepayment Account


Creating a Reversal Prepayment Account allows you to contribute money gradually over time towards their reversal surgery. When you have the full amount you can schedule your reversal surgery. The initial contribution must be $500 or more and the account must be fully funded within three (3) years of opening.

Discounted tubal reversal surgery

By opening a Reversal Prepayment Account (RPA) we realize you are making a significant commitment to our practice.

To show our appreciation for this commitment, we are going to provide our RPA holders exclusive access to discounted surgery rates when these discounted rates become available. We will also lock in the surgery fees for RPA account holders for the fee quoted at the time the account was started. This means, if we increase our surgical fee at any time in the next three (3) years, RPA holders will be guaranteed the surgery fee quoted at the time they started their account.

Advantages of a RPA

The advantages of starting a Reversal Prepayment Account are:

  • RPA prescheduling allows you to make sure you will be the best candidate possible.
  • You can use the RPA as a savings plan to gradually save for your reversal surgery.
  • You can avoid the high interest rates associated with surgery financing plans.
  • You can have your surgery fee locked in and protected from future fee increases.
  • You will be notified about discounted tubal surgery rates when these rates are available. Discounted rates will only be available to RPA holders.

Starting an RPA: 5 Simple Steps!

Starting an RPA is a great way to save for tubal surgery and you may be able to take advantage of a discounted rate when offered.

Please call our office if you have any questions about tubal reversal before you start your RPA account. To start an RPA you need to take these 5 simple steps:

Step 1. Complete RPA prescheduling questionnaire

The key to starting an RPA is to complete our prescheduling process. This allows you to make sure you will be the best candidate for reversal surgery before you start saving. It also allows us to evaluate you for any health conditions which could prevent you from having reversal surgery and identify any conditions which could be improved or optimized before your reversal surgery.

By completing the prescreening process you will be in a better position to take any discounted surgery rates should they become available on short notice.

To start a Tubal Reversal Prepayment Account complete this form:
Tubal Reversal Prescheduling Questionnaire

To start a Vasectomy Reversal Prepayment Account complete this form:
Vasectomy Reversal Prescheduling Questionnaire

Step 2. Pay surgery scheduling fee

After you have submitted the Prescheduling Questionnaire you will need to pay the $150 scheduling fee. You have 90 days to start prescheduling after paying the scheduling fee.
If 90 days elapses and you have not begun prescheduling then you will need to repay the surgery scheduling fee. The scheduling fee can be paid by credit card by using the link below:

Use this link for credit card payment

credit card

As an RPA holder, you will not have to pay the scheduling fee a second time when you are ready to schedule your surgery.

Step 3. Complete prescheduling phone health interview with a nurse

This is important because it will allow us to screen for common medical problems before you open your RPA. This will help identify unanticipated problems that can often arise when patients are trying to scheduling surgery (over BMI limit, unexpected anemia, pre-operative clearance for complicated medical conditions, and undiagnosed health issues which could be improved while you are saving for surgery).

At the end of the interview the nurse will ask you to obtain a complete blood count (CBC).
We can order this test for you or you can send us a recent (within 3 years) CBC result from your medical records. If any significant medical problems are identified, we may require additional tests and our team can make the appropriate recommendations to prepare you for surgery. We can also provide you with recommendations on the best way to prepare for a safe surgery and a healthy pregnancy while you are making contributions towards your RPA.

You or your health insurance will be responsible for the cost of any required lab testing. Often your health insurance will pay for required labs with a doctor’s order.

When you are ready for surgery, you must repeat the scheduling interview and obtain a second CBC test within 90 days of your scheduled surgery.

Step 4. Return the RPA contract and initial contribution

After your scheduling interview has been completed and our office has received all required lab tests, x-rays, and medical clearances then our office will send you an RPA contract by email.

Return the completed and signed RPA contract within 30 days of completing your Prescheduling interview with any amount greater than $500 to secure your locked in surgery fee and to start your RPA account.

You will not be officially considered an RPA holder until you have paid the scheduling fee, completed the prescheduling interview, and returned the initial RPA contract and deposit. Only then will you be notified of discounted rates when available.

Step 5. Contribute to your RPA

Contribute to your RPA when you are able. You must send a minimum of $100 with each contribution. We recommend you consider an average of $150 per month to fully fund the average surgery fee in full by the end of 36 months (3 years).

Important points about the RPA

  • You can schedule your surgery at any time but you must schedule your surgery within three (3) years of starting the account.
  • Our office will send monthly emails to RPA members notifying them of reduced rates if these rates are available. We will provide as much advanced notice as possible.
  • Since you have completed the prescheduling interview then most problems should have been identified and you can save towards your surgery with the confidence you are going to be the best candidate possible for both surgery and pregnancy.
  • The scheduling fee to start a Prescheduling interview for an RPA must be paid using a credit card; however, we are unable to accept contributions towards the RPA using credit card.
  • Contributions to the RPA should be made by cashier’s checks or money orders made payable to Charles W. Monteith, MD PA.

Making future contributions to your prepayment account

To send future contributions, use the  Prepayment Form, on our website and mail it with your cashier’s check or money order.

The entire surgery fee must be paid in full before you can schedule a surgery date.
We do not accept credit card payments for RPA contributions.

Make your cashier’s check or money order payable to Charles W. Monteith MD PA and mail to:

A Personal Choice
3613 Haworth Drive
Raleigh, North Carolina 27609
ATTN: Reversal Prepayment Plan

If you have any questions regarding the prepayment account, please call our office and speak with a Business Office Associate.

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.

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


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.

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


Terra Reply

How can I send a copy of my tubal Op Report?

Stephanie Reply

I no longer have a menstrual cycle..but with meds it comes on..Will I be able to get pregnant still if I have the surgery

    Dr. Monteith Reply

    You are probably not ovulating. As long as you are not perimenopausal….age 45 and older then you should be able to have reversal and get pregnant. Your doctor will have to give you a medication called clomid and that will help you become pregnant.

Silvia Reply

After tubal reversal. During in vitro can we determine or choose gender of the baby. Is this available?

    Dr. Monteith Reply

    You can do IVF and determine the sex of the baby..IVF is $14,000 and sex selection is another $5,000. The process of sex selection may damage the embryo and result in less chance of successful pregnancy.

Ella Reply

Is there a longer payment plan available

    Dr. Monteith Reply

    We only have a three year plan. If you need more time to save then you should open a savings account at your bank and save towards your tubal reversal surgery.

Brittany Reply

Can a tubal reversal be performed if you have psuedotumor cerebri and have a shunt?

    Dr. Monteith Reply


    We have had several patients with your condition and shunts in place…in fact we just had a patient like you last week. In general it should not be a problem. The only risk is small risk of shunt infection. We do give you antibiotics and we have never had a patient have a shunt infection but it is remotely possible.

    We should be able to help you. We can reverse most tubal ligation procedures.

    The first step to see if you are a candidate is to send us your tubal ligation reports to us for a free review and we can let you know if you are a candidate for reversal surgery.

    Your reports can be obtained from the medical records department where your tubal ligation surgery was performed.

    We charge $6,900 total plus $150 to schedule and we are located in Raleigh, North Carolina.

    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.

    On average the chance of pregnancy after tubal ligation reversal is about 60% if you are under age 42.

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

    Although $6,900 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.

    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.