A Personal Choice Tubal Reversal — Raleigh, NC

Rating: 4.9 stars / 668 reviews | 3613 Haworth Dr, Raleigh, NC 27609 | tubal-reversal.net

There is a subset of fertility medicine that rarely makes headlines: tubal reversal surgery. No egg retrieval cycles, no hormone stimulation protocols — just a single outpatient operation that reconnects what was once cut, tied, or burned, opening the door to natural conception for women who had a change of heart after a tubal ligation. A Personal Choice Tubal Reversal in Raleigh, North Carolina has built one of the most respected, highest-volume programs in this niche anywhere in the world. With more than 12,000 tubal surgeries performed since 1997, a published overall pregnancy rate of 70 percent, and a 4.9-star rating across 668 patient reviews, this is not a generalist OB/GYN office that occasionally does reversals. It is a dedicated tubal microsurgery practice — and that specificity matters enormously to outcomes.

What Is Tubal Reversal Surgery?

Tubal ligation — colloquially "getting your tubes tied" — closes, cuts, or removes sections of the fallopian tubes. It is intended to be permanent. But life circumstances change: a new relationship, the loss of a child, or simply evolving priorities can bring women back to a fertility specialist asking whether it can be undone.

Tubal reversal surgery (formally, tubal reanastomosis) reconnects the severed ends of the tubes using microsurgical techniques. In skilled hands the operation takes roughly one to two hours under general anesthesia and — crucially at A Personal Choice — is done as an outpatient procedure with no overnight hospital stay. Most patients go home the same day and return to light activity within one to two weeks.

Feasibility depends heavily on how the original ligation was performed, how much healthy tube remains, and the patient's age. These variables make choosing a high-volume, specialized surgeon far more consequential here than in most elective procedures.

The Physicians: A Legacy Practice Built on Microsurgical Excellence

A Personal Choice traces its lineage to Dr. Gary S. Berger, MD, who established the tubal microsurgery program within the Department of Obstetrics and Gynecology at UNC School of Medicine and pioneered outpatient tubal ligation reversal surgery. His Chapel Hill Tubal Reversal Center became the country's premier referral destination for women seeking reversal from across the United States.

Dr. Charles Monteith, MD joined Dr. Berger's staff in 2008, was promoted to Medical Director in 2013 after performing more than 1,200 tubal surgeries, and relocated the practice to Raleigh in 2014 under its current name. Dr. Monteith is the first surgeon in the world to publish peer-reviewed studies on successful reversal of Essure sterilization — a far more technically demanding procedure — and has produced more Essure reversal babies than any other surgeon worldwide. That founding lineage at UNC, decades of institutional volume, and active contributions to the medical literature place A Personal Choice in an entirely different category from generalist practices that offer reversal as a sideline.

Success Rates: What the Data Shows

A Personal Choice publishes its pregnancy outcomes — a differentiator in a specialty where many providers stay opaque. Long-term follow-up data shows an overall pregnancy rate of approximately 70 percent, broken down by ligation type:

Age is the other major variable. Patients under 40 see the highest success rates; those over 40 should expect rates in the 30–40 percent range. Most patients who conceive do so within the first 12 months after surgery.

Tubal Reversal vs. IVF: An Honest Comparison

When a woman with prior tubal ligation seeks fertility care, she faces a binary choice: reversal surgery or IVF. Many fertility clinics steer toward IVF because it is their core service. A Personal Choice is one of the few practices in the country without that financial incentive — they perform reversals and vasectomy reversals exclusively.

The cost difference is significant. A tubal reversal at A Personal Choice runs approximately $7,500–$7,900 as a single all-inclusive fee covering consultation, surgery, anesthesia, OR fees, and the post-op visit. A single IVF cycle at most U.S. clinics runs $12,000–$25,000, and most patients require multiple cycles. Published research in Fertility and Sterility found tubal anastomosis is more cost-effective for women under 41; IVF becomes preferable only at 41 and older. A successful reversal also restores natural fertility permanently — a couple can conceive multiple times from one surgery, while IVF requires a new cycle and expense for each attempt.

A National Destination Practice

A 4.9-star rating across 668 reviews is notable for a surgical specialty. Elective surgical practices are vulnerable to single bad outcomes in online reviews; sustaining near-perfect scores across hundreds of patients who arrived with high emotional investment reflects genuine clinical excellence.

Patients travel from all 50 states specifically for this practice. A Personal Choice coordinates pre-operative workup and recovery logistics for out-of-state patients, and the all-inclusive fee eliminates the itemized billing surprises typical of hospital-based surgical care.

North Carolina Insurance Coverage

North Carolina has no fertility insurance mandate, so this procedure is an out-of-pocket expense for most patients. See our guide to fertility insurance by state for details. One nuance worth knowing: because tubal reversal is reconstructive surgery rather than an ART procedure, some plans that exclude IVF will reimburse it under a general surgery benefit — ask your insurer about CPT codes 58750 and 58752 before assuming no coverage.

For guidance on selecting a specialist, see how to choose a fertility clinic. For cost context by state, see IVF cost by state. A Personal Choice is listed in our fertility clinics in North Carolina directory.

The Bottom Line

A Personal Choice has done something rare in fertility medicine: it built genuine, peer-reviewed, volume-backed expertise in a single procedure and made it accessible and affordable at national scale. For women who had a tubal ligation and now want to conceive naturally, this is the first name to know in the United States. The data is published, the lineage traces to the University of North Carolina, and more than 12,000 patients have left that Raleigh operating suite with restored anatomy — and, in the majority of cases, a pregnancy to follow.

Considering At-Home Insemination?

Not every fertility journey begins in a clinic. At-home intracervical insemination (ICI) is a lower-cost, private option that suits patients with no known fertility diagnosis — including single parents by choice, same-sex couples, and people who want to try a few cycles before committing to clinical treatment.

At-home insemination kits like those from MakeAMom come with step-by-step instructions designed for donor or partner sperm. Kits are a one-time purchase that can be reused until conception succeeds, require no clinic visit, and arrive in plain, discreet packaging. Many patients use them as a first step while working toward a fertility consultation — or alongside ovulation tracking while they wait for an appointment slot.

If you have a known fertility diagnosis, have been trying for 12 months without success (six months if you're over 35), or your physician has already recommended IUI or IVF, a board-certified reproductive endocrinologist is the right next step.

Frequently Asked Questions

Am I a candidate for tubal reversal, or should I go straight to IVF?

Candidacy hinges on how much healthy tube remains and the original ligation method. Clips and rings leave more tube intact than coagulation or resection, translating to pregnancy rates above 75 percent at A Personal Choice for women under 37. Women over 40 or those with very short remaining tube segments may see better outcomes with IVF. A pre-operative evaluation reviewing your surgical records and an HSG can clarify candidacy before you commit.

How long after surgery can I start trying to conceive?

Most patients are cleared to try approximately six to eight weeks post-surgery, once the reconnected segments have healed. The majority of patients who achieve pregnancy at A Personal Choice do so within the first 12 months. Unlike IVF, which requires timed retrieval cycles, post-reversal conception is natural and can occur in any month once healing is confirmed.

Does insurance cover tubal reversal in North Carolina?

North Carolina has no fertility insurance mandate, so coverage is at each insurer's discretion. Because tubal reversal is classified as reconstructive surgery rather than an ART procedure, some plans that explicitly exclude IVF will reimburse it under a general surgery benefit — ask your insurer about CPT codes 58750 and 58752 specifically. A Personal Choice's all-inclusive fee (approximately $7,500–$7,900 as of April 2026) makes it straightforward to submit a single clean reimbursement claim.