What is tubal ligation reversal surgery?
Tubal ligation reversal (also called tubal anastomosis) is a procedure to restore fertility after a woman has had her tubes blocked, cut, or sealed. The surgeon reconnects the healthy ends of the fallopian tubes so that eggs can once again travel from the ovaries to the uterus.
How long does the surgery take?
The procedure usually takes 1.5 to 2 hours and is performed as outpatient surgery, meaning you go home the same day.
How is the tubal ligation reversal surgery performed?
NCCRM uses an open microsurgical approach with an incision in the lower abdomen (smaller than a C-section). The tubes are carefully rejoined with fine sutures to restore function.
Tubal Ligation Reversal Eligibility & Candidacy
Who is a good candidate for tubal ligation reversal?
Candidacy depends on:
- The type of tubal ligation performed
- How much healthy tube remains (ideally at least 5 cm)
- Patient age (younger patients have higher success rates)
- Overall reproductive health (e.g., ovarian reserve, uterine health, partner’s fertility)
What if I don’t have enough tube left?
If not enough healthy tubal tissue remains or if the tubes are too damaged, reversal may not be possible. IVF may be recommended instead.
Can I still have a reversal if I had a C-section, fibroid surgery, or other abdominal surgery?
Yes, but prior abdominal surgeries may make the reversal more complex. Your doctor will review your history and advise on risks.
Tubal Ligation Reversal Success Rates & Fertility
What are the chances of pregnancy after tubal reversal?
Success rates vary, but NCCRM reports an average of 55% pregnancy success, depending on factors like age, type of ligation, and tubal length.
Does age affect success?
Yes. Women under 35 generally have the highest success rates, while women over 40 may have lower chances.
How soon can I try to get pregnant?
Most patients can begin trying within two weeks after surgery, once they feel comfortable. However, it may take up to a year to conceive naturally.
What if I don’t get pregnant after a reversal?
If pregnancy does not occur within 6 months, your provider may recommend fertility testing or treatments such as IVF.
Risks & Considerations
What are the risks of the surgery?
As with any surgery, risks include bleeding, infection, and complications from anesthesia. Scar tissue may also form around the tubes, which can reduce success.
What is the risk of ectopic pregnancy after tubal ligation reversal?
There is an increased risk of ectopic pregnancy (pregnancy outside the uterus, often in the tube). Patients should seek medical care immediately if they experience pain or bleeding after a positive pregnancy test.
Will I need liposuction for the surgery?
Sometimes, if there is excess abdominal fat that limits access to the tubes, liposuction may be performed during surgery to improve visibility and outcomes.
Recovery & Aftercare
What is the recovery time?
Most patients need about 2 weeks before returning to normal activities. Some soreness and fatigue are expected, and strenuous activity should be avoided until cleared by your provider.
Will I need someone with me?
Yes. Because of anesthesia, you’ll need someone to drive you home after surgery and to help during the first day of recovery.
Costs & Insurance
How much does reversal surgery cost?
The cost at NCCRM typically includes:
- Initial consultation
- Ultrasound
- Surgery and anesthesia
- Pre-op and post-op visits
Additional costs may apply for labs (bloodwork, ovarian reserve testing), prior surgical complications, or liposuction if required.
Does insurance cover tubal reversal?
Usually not. Most insurance plans, including Medicare and Medicaid, consider it elective and do not cover the procedure.
Are financing options available?
Yes. NCCRM offers several financial plans to make surgery more affordable.
Alternatives & Additional Options
What if reversal isn’t possible?
If the tubes cannot be repaired, in vitro fertilization (IVF) is the main alternative.
How does tubal reversal compare to IVF?
- Tubal reversal allows multiple chances for natural conception each month after recovery.
- IVF bypasses the tubes altogether, but involves higher costs, hormone injections, and lab procedures.
- Your provider will help decide which is best for your situation.
Out-of-Town & Special Situations
Can I come from out of state for surgery?
Yes. NCCRM welcomes out-of-state and international patients. Many patients fly in for reversal surgery.
Does NCCRM act as a monitoring site for IVF or other fertility patients?
Yes. NCCRM partners with other fertility clinics nationwide and also provides monitoring services for patients traveling from different areas.
Additional Common Questions
How soon will I have a period after surgery?
Most women resume their menstrual cycles within 4–6 weeks, depending on when the surgery was done in their cycle.
Will the surgery leave a big scar?
No. The incision is typically smaller than a C-section scar and placed low on the abdomen.
Can both tubes always be reconnected?
Not always. Sometimes only one tube can be repaired, but pregnancy is still possible with one functioning tube.
What if I had an Essure or Adiana procedure?
These types of sterilization are more challenging to reverse. NCCRM evaluates each case individually, and IVF may be recommended.
