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Our Success Rates


When you come to A Personal Choice for tubal surgery you will be benefiting from our exclusive dedication to tubal surgery. We don’t provide vague or estimated numbers on your chance of success because we have taken the effort to collect detailed statistics on over 10,000 tubal reversal surgeries performed over the course of a decade.

As a result of our efforts, we are able to provide you with accurate information about your chances of pregnancy after tubal ligation reversal.

Although tubal reversal is more successful in women under the age of 30, our experience demonstrates pregnancy is possible at any age if you are having regular periods. This is why we don’t have a mandatory age restriction for our surgery patients.

Although tubal reversal is more successful in women who have had tubal clips or tubal rings, our experience has demonstrated any tubal ligation can be reversed and pregnancy is possible. This is why we don’t require that you have an operative note before having surgery at our center.

When most doctors believed Essure could not be successfully reversed we proved it was possible.

At A Personal Choice we understand no one can predict the future and no one can predict who will or will not become pregnant. We have worked diligently to provide statistics about tubal reversal success so our potential patients can make a more informed decision about their reproductive choices. Although we have worked hard to provide statistics and numbers to our patients, we realize each of our patients is not a number. We let our patients make the decisions they feel appropriate for themselves, their partners, and their families.

Chances of Pregnancy

After Tubal Ligation Reversal
Method Total Cases Pregnant (Number) Pregnant (Percent)
Clips 850 660 78%
Rings 1416 1070 76%
Ligation/Resection 3971 2616 66%
Coagulation 2849 1872 66%
Essure 282 89 32%
Other/unknown 849 438 52%


We have observed pregnancy after reversal of all types of tubal ligation. The chances of pregnancy are higher after reversal of tubal clips and rings but our patients also have experienced success after reversal of coagulation (tubal burning). Our patients are able to become pregnant after tubal reversal even when they have been unable to obtain their operative notes or have had unknown types of tubal ligation procedures.

Our experience has demonstrated we can successfully repair the tubes in over 98% of women who come to our center and approximately 67% (2 out of 3) of these women will become pregnant after reversal surgery.

Essure sterilization is one of the more difficult types of tubal sterilization procedures to reverse. Dr. Monteith was one of the first doctors in the world to publish within the peer reviewed medical literature reports of successful pregnancy after Essure reversal surgery.

For more updated information: Chances of pregnancy after Essure reversal

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?

Chances of Pregnancy

After Reversal Based On Age
Age Total Cases Pregnant (Number) Pregnant (Percent)
<30 1388 1128 81%
30-34 3758 2823 75%
35-39 3483 2262 65%
40+ 1306 443 34%


The power of tubal reversal is derived from the fact that each month you have a chance to get pregnant. Even a small chance each month added up over many months can grow to be a larger chance over time.

Younger women are more likely to become pregnant because of the greater time they allow themselves to become pregnant. Although the chance of pregnancy after tubal reversal is higher in younger women, we have observed pregnancy after tubal reversal at most ages. Our oldest confirmed patient to become naturally pregnant was 47 years of age.

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Tubal Reversal Pregnancy Study

A Decade of Observation

This study was conducted at our practice from July 2000 to December 2011. The results on over 9,900 surgeries performed at our practice were analyzed.

The complete Tubal Reversal Pregnancy Study: A Decade of Observation can be viewed by using the following links:

Table of Contents

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.


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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Jenny Reply

Hi…I inquired about getting a reversal over a year ago. We would like to have this done, but will need to wait until February or March. I just turned 43 in May. I sent my records already. Is there still hope for me to get pregnant at the age of 43? Thank you!!

    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.

    If you are having periods then each month you have a chance to become pregnant. Each year you have 12 chances. The older you become and the longer you wait…then each year you lose 12 yearly chances and each monthly chance becomes less every year you wait.

    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 $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.

    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.