Tubal Reversal Surgery

Enhance Your Chances of Conceiving with Duke University Medical Center’s Tubal Reversal Procedure

Tubal reanastomosis is the medical term for tubal ligation reversal. A woman who has had a previous tubal ligation by clips, rings, or fulguration may be a candidate for a tubal reversal.

In the tubal ligation reversal, an incision is made into the abdomen to gain access to the fallopian tubes. The ends of the fallopian tubes are then incised to expose the lumen, or opening of the tube. The two lumens of the tube are then carefully reattached under the microscope.

Once the tubes themselves are reattached, the outer covering, or serosa, of the tubes are brought together over the top of the inner portion of the tube. Colored dye is then used to test the repair and patency of the fallopian tubal ligation reversal.

Pregnancy rates with tubal ligation reversal procedures are not discussed on a per-cycle basis, as with controlled ovarian hyperstimulation (COH) and in vitro fertilization (IVF) pregnancy rates. Overall, approximately 75 percent of women will be able to conceive following a successful tubal ligation reversal.

Peak pregnancy rates occur within several months following tubal ligation reversal procedures. A hysterosalpingogram (HSG) may be used six months or more after a reanastomosis to test the tubes to be sure they are still open.

The Duke Fertility Center is now performing tubal reversals at the Davis Ambulatory Surgery Center for a package price of $6,000.

Surgeon’s Fee $1,580 Covers surgery and post-operative visit.  This can be paid by major credit card or check made payable to:Private Diagnostic Clinic
Anesthesia Fee $1,420 Covers anesthesia professional fee.This can by paid by major credit card or check made payable to: Regional Anesthesia, PLLC.
Surgical Center Fee $3,000 Covers operating room, anesthesia equipment and miscellaneous fees. Major credit cards only will be accepted and this fee can be paid on the day of surgery at the Davis Ambulatory Surgery Center
TOTAL $6,000*

* Not included in this price: 

  • The initial consultation visits and any diagnostic testing needed prior to surgery.
  • Postoperative hospitalization more than 23 hours.
  • The cost of any complications that result from the surgery.

 Payment schedule

  • Payments for the surgery and anesthesia fees can be made by check or major credit card at Duke Fertility Center front desk at least 1 week prior to surgery. It is ideal to bring these this payments to your pre-operative visit. Surgery will be canceled if payment is not received one week prior to the scheduled date.
  • Payment for the anesthesia fee can be made by check or major credit card to Regional Anesthesia at least 1 week prior to surgery. Please call 919 384-0500 ext 209 and speak with Valerie to arrange payment.
  • Surgical Center fee can only be made using a major credit card on the day of surgery at the Davis Ambulatory Surgery Center.
  • For questions, contact Duke Fertility Center 919-572-4673

Insurance Coverage

Insurance rarely covers tubal ligation reversal (CPT Code # 58750). If you have insurance coverage, it is your responsibility to ask your insurance company to provide you with written proof of coverage which must be submitted to our office at least 1 week prior to surgery.  We will then bill your insurance company directly.

Duke University Medical Center can reverse tied tubes in our outpatient surgery center. Patients from Raleigh, Durham, Apex, Cary, Chapel Hill, Fayetteville, South Boston, VA, Danville, VA and nationwide can recover overnight under nursing care without being admitted to the hospital.

This allows for a significant reduction in cost while maintaining the safety of trained observation following the reverse tied tubes procedure. The beautifully decorated facility offers state-of-the-art equipment for microsurgery as well as almost all outpatient procedures performed by our division.

If you would like to discuss your options for the tubal ligation reversal procedure, or would like to compare reanastomosis to in vitro fertilization (IVF), please contact the appointments office to schedule a meeting with one of our physicians.

We can answer any questions you may have about tubal reversal surgery in relation to your individual situation and help you decide what your best option may be. If possible, bring copies of operative reports, pathology reports, or any HSG done after the tubal procedure. We can assist you in obtaining these documents if you are uncertain how to obtain them.

Helping patients from Raleigh, Durham, Apex, Cary, Chapel Hill, Fayetteville, South Boston, VA, Danville, VA and nationwide realize their dream of having a family.