Tubal Ligation Reversal

Patients who desire pregnancy after undergoing a tubal ligation (“having their tubes tied”) are often faced with a difficult decision regarding treatment options.

While many fertility clinics offer in vitro fertilization (IVF) as the only hope for such women, Veritas Fertility & Surgery provides tubal ligation reversal, also called tubal anastomosis. With this procedure, Dr. Puthoff reopens and reconstructs the fallopian tubes, which restores a woman’s fertility, allowing her to become pregnant again on her own – without IVF.

A tubal reversal procedure is both more effective and less costly than IVF. In nearly all cases, women who have a tubal reversal can undergo a successful procedure, with one or both tubes being successfully reopened, able to function normally. Overall, women who undergo a tubal reversal have a 70-75% chance of achieving a pregnancy, although the chances of success can vary depending on other factors, such as a woman’s age or the length of the fallopian tubes after the procedure.

Dr. Puthoff performs tubal ligation reversals using two different techniques:

Robot-assisted tubal ligation reversal

  • Minimally invasive laparoscopic procedure using the DaVinci robot
  • Better option for patients who may have pelvic adhesions, endometriosis, or other medical conditions
  • Performed at Mercy Hospital
  • Slightly more costly

Tubal ligation reversal via mini-laparotomy

  • Performed through a 3-4 inch “bikini incision”
  • Better option for patients who are not overweight and who likely do not have endometriosis or other conditions which can cause pelvic scar tissue
  • Performed at St. Louis Multispecialty Surgery Center
  • Slightly less costly

The success rate of each type of tubal reversal procedure is the same since Dr. Puthoff employs the same microsurgical techniques to reconstruct the fallopian tubes in each procedure.

In almost all cases, insurance does not cover the cost of a tubal reversal procedure. Veritas Fertility & Surgery offers all-inclusive pricing of $6,000-10,000, depending on the type and complexity of the procedure you need. This price includes Dr. Puthoff’s fees, the hospital or surgery center fees, and anesthesia costs. If you’d like to get more specifics regarding pricing, please call our office.

As with any surgical procedure, tubal reversal surgery does come with some risks, including bleeding, infection, and injury to nearby structures. In general, the risk of a complication like this is less than 1%. Another important risk to be aware of is that women who have a tubal reversal have a slightly higher chance of having an ectopic (tubal) pregnancy after the procedure. For women who’ve had a tubal reversal, the risk of an ectopic pregnancy is 5-7%, compared with to 2% in the general population.

In addition to calling the office to schedule an initial consult with Dr. Puthoff, we ask that patients email or fax a copy of their tubal ligation operative report to our office for review prior to their initial consult.


“Dr. Puthoff is amazing! He is compassionate, patient, and very intelligent. He seems to really care, and it feels like you’re in good hands. It is reassuring that he is so good at what he does and still allows you to make your own choices.”

“I am very blessed that the Lord brought Dr. Puthoff and his team into my life. His work and the treatment I received made it possible for us to have another child. That is a priceless joy and we couldn’t say thank you enough to Dr. Puthoff.”

“The friendly and welcoming attitude of Dr. Puthoff put me right at ease. He thoroughly explained the procedure and answered all of my questions. I felt extremely confident that he is the right surgeon for my procedure.”

“My husband and I were very pleased with how approachable and comforting Dr. Puthoff was. He took time to listen and to care. We never felt rushed. He gave us hope. That’s what we needed. Thank you Dr. Puthoff for what you do. Your job truly has a lasting impression and gift on your patients.”

“Because of my first visit and the attentive phone calls I have received since, I am confident I am in caring hands for my upcoming surgery. I feel extremely grateful to be getting such amazing care.”

“I always feel involved in my care. Dr. Puthoff has an excellent bedside manner and demonstrates a high level of professionalism.”

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