The Surgery: The tubes are repaired using a multilayer technique followed by a chromotubation to ensure the tubes are open. The surgery is performed through a mini-laparotomy incision of about 3 inches located at the hair line. The incision is closed using a plastic surgery technique and 10-0 nylon suture. This is the smallest suture available. The smaller the suture the less scar tissue. This results in higher pregnancy rates. Dr. Rosenfeld has perfected this technique over the past 27 years of performing tubal reanastomosis.

The surgery is performed in a new state-of-the-art outpatient surgery center - First Street Surgical Center. The On-Q pain pump, a revolutionary pump, is included in the surgery. This method of local pain control enables patients to recover comfortably without the need for oral pain medications that cause bothersome side effects such as congestion, constipation, and drowsiness.

What you should bring to an appointment: A copy of your Operative Report from your tubal ligation surgery is very helpful. Copies of lab results, x-rays &/or hormone studies are also useful. (Medical Records Release Form). Referrals from other physicians are welcome.

Dr. Rosenfeld will review all Medical Records to determine if you are a candidate for the Reversal surgery. If you have not heard from the office within one week of receiving these forms, please call the office and ask to ensure they were received and processed.

Your Surgery Appointments: If you are coming from out of town you will need to plan to have an office visit the day prior to surgery. This visit will last approximately 2 hours. You will meet Dr. Rosenfeld, and go over the surgery with him. You will have a pelvic ultrasound performed in the office. You will be free after that appointment. The following morning you will arrive at First Street Surgical Center at 6 am. You will meet the anesthesiologist and have your blood drawn. General Anesthesia is used for the surgery. The surgery lasts less than two hours. You will be discharged in the afternoon and can return to the hotel. Most patients are able to travel home the day after their surgery. You may return to the office before traveling if you would like to be evaluated by the nursing staff.

What to expect from surgery: As a result of the surgery, the tubes will grow back together. That is why many physicians will give you a money-back guarantee. In most cases, it does not matter if your tubal ligation was done with clamps, tying, or burning. The length of time since your tubal ligation does not affect your tubes ability to grow back together. Your individual success rate is affected by your age, how regular your periods are, and your partner’s sperm count. Out of town patients: You will be required to complete the Surgical Clearance Letter before surgery.

Costs: Dr Rosenfeld's fee for the tubal reversal is $6,400 which covers pre-operative lab work, surgeon’s fee, anesthesia fee, operating room and post-operative care through the evening of the surgery. However, the cost of the On-Q pain pump (if requested) and the treatment of any unexpected medical complications are not covered by this fee.

The cost of any unexpected medical complications may be covered by your medical insurance, even if the tubal reversal is not.  Semen analysis is available for an additional fee.

Deposit: A $1000 deposit is required to schedule the tubal reversal surgery. The balance of $5,400 is due in full two weeks prior to the procedure. If you cancel your surgery at least two weeks before your scheduled surgery date, we refund $350 of the deposit to you. The deposit is non-refundable less than two weeks before surgery.

Insurance: We are providers for many managed care plans and health maintenance organizations and, for your convenience, we gladly file your insurance claims for you. If you do not find Dr. Rosenfeld in your Provider Directory please call as these plans change daily.

Financing: The Southwest Center for Microsurgical Tubal Reversals takes Visa, MasterCard, Discover, AMEX and checks. To pay online at any time, contact us with your payment information at 866.790.0095 and a receipt will be emailed to you within one business day.

Dr Rosenfeld also accepts CosmiCredit, an elective surgery loan provider, and MedChoice Financial, a patient financing provider.

References: There is a network of patients available who have had tubal reversal surgery with Dr. Rosenfeld who are willing to talk with you about their surgery.