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Our Practice


Welcome to A Personal Choice! Formerly known as Chapel Hill Tubal Reversal Center, we have been performing tubal ligation reversal and corrective surgery for blocked fallopian tubes since our practice was created in 1997.

Our practice, under the leadership of Dr. Gary Berger, was responsible for pioneering innovative techniques in microsurgical tubal reversal surgery. These advancements have allowed tubal reversal to be affordable, to be performed in an outpatient setting, and not require overnight hospitalization. Since 1997 we have performed more than 12,000 tubal surgeries and we are responsible for more successful tubal ligation reversal surgeries and tubal reversal babies than any other practice in the world. Under the leadership of Dr. Monteith our practice continues to provide exclusive specialization in tubal surgery in a surgical center devoted exclusively to infertility surgery.

Meet Dr. Monteith

As a surgeon my reputation & integrity are extremely important to me. I’ve been providing new choices & new beginnings since 2008. I’ve had the distinct privilege of being the first surgeon in the world to report successful pregnancy within the peer reviewed medical literature after reversal of transcervical hysteroscopic tubal sterilization. Permanent is not forever at my practice! HAVE QUESTIONS?

Best Place for Tubal Reversal Surgery

We were the first in the world to publish case reports within peer reviewed medical literature on successful pregnancy after Essure reversal and Adiana reversal. Since these initial reports, we have developed extensive expertise in both Essure reversal and Essure removal. Our Essure reversal techniques provide women the chance to become pregnant again after Essure sterilization. Our Essure removal techniques are performed in an outpatient setting and without the need for a hysterectomy.

We set the standard in providing tubal reversal surgery because of our tubal reversal pregnancy statistics, exclusive specialization in corrective tubal surgery, continually updated pregnancy testimonials, and quality of patient care.

When others said it could not be done… we proved it could.

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.

Pregnancy Statistics

We don’t provide vague, estimated numbers on the chance of success and we don’t make up numbers. We provide our patients with complete and accurate statistics on the chance of pregnancy after tubal reversal based on our own results collected from surgeries performed on over 12,000 women over more than a decade.

We don’t just tell you reversal works…we took the effort to prove it with our own statistics.

Specialization in Tubal Surgery

We don’t perform in-vitro fertilization (IVF). IVF is an acceptable treatment for infertility but IVF does not treat guilt, regret, or abnormal symptoms some women may feel after tubal sterilization. IVF does not fully restore the satisfaction some women feel when restoring their ability to become naturally pregnant with their partner. IVF does not allow women the ability to become pregnant more than once and over time. We don’t offer any ‘money back guarantees’ or ‘shared risk’ programs you are promised with some infertility treatments.

We don’t perform cosmetic surgery, Botox injections, liposuction, or other procedures that could distract us from our specialization and the care we provide our patients. Although these other treatments have their place, we have chosen to help women and couples through exclusive specialization in corrective tubal surgery and sterilization reversal. We have chosen to exclusively specialize in procedures we feel make a substantial difference in the lives of our patients, their partners, and their families.

No treatment result can be guaranteed but through our specialization we can offer our expertise in restoring your ability to become naturally pregnant and the hope for a better tomorrow.

Birth Announcements

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

– Saratoga Springs, New York

Birth Announcements

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

– Ontario, Canada

Birth Announcements

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

– Buckatunna, Mississippi

Birth Announcements

“Ivy is our second Monteith Miracle!”

– APO, Armed Forces Europe

Birth Announcements

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

– Colorado Springs, Colorado

Birth Announcements

“Thank you for making our dreams come true!”

– Nebo, North Carolina

Pregnancy Testimonials

We don’t show several testimonials from many years ago. We care about each one of our patients and the success of their surgery. As a result, we keep our pregnancy testimonials as fresh and updated as we can. Our tubal reversal babies are the fruits of our patient’s success cultivated by our unique specialization. We love each and every one of our babies and we want to show them off. We encourage all of our patients to report their pregnancies and births and we take the time to respond and to display these comments and photos on our website.

Keeping our baby testimonials and patient messages current takes time and effort…but we think it is well worth it.

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

Patient Support

From the moment you first call our office or send us an email you will get a prompt response. When you call to speak with us you will get a knowledgeable staff person to assist you and answer your questions. While you are a patient at our center you will get personalized attention and one-on-one care. After you leave our center, we will be here for you and we are just one phone call or email away.

As a patient of our practice you will be benefiting from a team exclusively dedicated to the success of tubal reversal by offering you proven results based on complete and accurate statistics collected over two decades of specialization.

Get Your Free Consultation Today

Looking to get pregnant or repair blocked tubes? Considering a vasectomy reversal? Take the first step.
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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.


tiffany cutini Reply

I had 2.8 fimbriated section of my left tube cut and a 2.0 Fimbriated section of my right cut. I am considering IVF but would I have any chance reversing? I do not have my tubal ligation report, just pathology report. We live in Florida, so not easy to see for consult.

    Dr. Monteith Reply

    IVF would provide you with a more certain chance of pregnancy than reversal of fimbriectomy.

    Fimbriectomy (tubal ligation that removes the ends of the tubes) can be reversed but it depends on how much of the end of the tube was removed.

    In general, if the ends of the tubes have been removed then IVF may offer you your best chance at pregnancy if you are under the age of 40.

    The chances of pregnancy are around 15% to 40% with fimbriectomy reversal.

Rachel Reply

I had my tubes just tied in 2012 and I’m 33 and have two beautiful children. But was hoping for one more. How hard is it to get them reversed with them just being tied?

    Dr. Monteith Reply

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

    You should send us your tubal ligation reports 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 $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.

    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 $6,400 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.

    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.