Treatment Options

Tubal Reversal Surgery

Pricing starts at  $5,900+

Save $500 off Tubal Reversals.  Must have surgery on or before 7/31/24.

To schedule your complementary initial tubal reversal consultation call Click Here

The North Carolina Center for Reproductive Medicine performs tubal ligation reversal surgery on an outpatient basis in our state-of-the-art facility. By tubal ligation reversal, we refer to the procedure by which our physicians repair and restore a woman’s fallopian tubes so that she will be able to again become pregnant. The microsurgery procedure and our proprietary techniques enable us to reduce recovery time, make the procedure affordable and – best of all – achieve a high pregnancy rate. The actual tubal ligation reversal surgery takes approximately 90 minutes.  Our physicians were also pioneers in and are able to reverse Essure and Adiana tubal occlusions.

The majority of patients will have patent tubes and become pregnant within one year of their tubal ligation reversal surgery. The pregnancy rate varies by type of tubal ligation, length and health of the remaining tubal segments, a woman’s age and other factors. Furthermore, tubal reversal enables most women to conceive naturally, without having to take fertility medications. Our medical team will consult with you to see if you’re a good candidate for tubal reversal surgery or if you should choose In Vitro Fertilization (IVF).

If uterine fibroids uterine fibroids  and/or uterine polyps are discovered at your preoperative exam, they may be removed at an additional cost because they can interfere with pregnancy.  Leaving fibroids or uterine polyps, both of which are non-cancerous growths, can reduce your chances of a successful tubal reversal surgery and future chances of a successful pregnancy.  Removal of fibroids (myomectomy) and removal of uterine polyps (polypectomy) are both considered to be gynecologic issues. As a result, most health insurance plans will cover the cost of the removal unless the patient has not met her deductible.   Patients with no insurance would be expected to pay for the procedure out of pocket.

Patients coming from out of town, should expect to spend two days in the Raleigh / Cary area. We will schedule your preoperative consultation on the day prior to your surgery and will request that you stay at a nearby hotel the evening following your surgery so that you will be accessible to our medical staff if postoperative care is required. Recovery time from the surgery is generally short and most patients can return to work or other normal activities within a week to 10 days.  Out of town patients, click here.


Dr. Sameh Toma founded NCCRM in the 1990’s and was one of the first private fertility centers in North Carolina. Other UNC fertility doctors joined Dr. Toma and NCCRM in providing Tubal Reversal, IVF, and other fertility services in a more efficient and affordable private setting.

Dr Toma is the medical director and does the majority of our surgeries.  He is one of the most experienced fertility doctors in the world, specializing in Tubal Reversal Surgery and In Vitro Fertilization. Dr. Toma was trained in microsurgical tubal reversal surgery while at UNC by Dr. Hulka, a pioneer in tubal reversal surgery who developed the Hulka clip as a method of tubal ligation resulting in minimal destruction to the tubes. 

At NCCRM we are proud to offer IVF and Tubal Reversal to our patients, individualizing the treatment to the appropriate patient.  Patients with an ample amount of tube may do best with tubal reversal while those with minimal tubal length may do best with IVF. IVF is also best when there is a male factor. That is why we recommend a semen analysis prior to a tubal reversal.

NCCRM provides the best success at one of the best prices in the industry by providing high quality service in a most efficient process. An example is how we do liposuction to decrease the abdominal thickness in patients with a higher BMI. This allows better access to the tubes. The result is a better-quality anastomosis that results in a higher chance of a successful pregnancy. NCCRM is the only fertility practice with liposuction capability and it still less expensive than most infertility clinics charge for a tubal reversal alone. This is one of the advantages that helps make our success rates the highest on the East Coast.

NCCRM was first in the world to do both Essure and Adiana reversals. Our years of experience has allowed us to continuously yield the highest success rates in the world for these procedures. Please follow us on Facebook to see all the success stories from our wonderful patients and we look forward to adding your story as you become a part of the NCCRM family.



See tubal reversal forms

For information on financing options, click here.

Check your BMI here to help plan the fees for your procedure.

To schedule your initial Tubal Reversal consultation please CLICK HERE.


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