Fertility
Renewal
Surgery

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Revive hope… your path to become a mommy again begins with us.
Delivering advanced tubal reversal techniques safely, cost-effectively, and compassionately to our patients.

WHO WE ARE

With over 25 years of experience in tubal ligation reversal, we have earned the trust of thousands of women. Our unwavering commitment to excellence ensures collaboration with the best in microscopic minimally invasive surgery. Under the skilled hands of our double board-certified surgeon, Aram Bonni, MD, FACS, FACOG, we uphold the highest standards of care and success for each patient we serve. Trust in our expertise to guide you on your path to parenthood.

WHAT IS IT

Tubal Ligation Reversal Surgery (TLRS) – is a surgical procedure that can restore fertility to women after a tubal ligation. Tubal ligation reversal surgery can be very successful in restoring your natural fertility, allowing you to become pregnant.
The American Society for Reproductive Medicine (ASRM) has repeatedly supported tubal reanastomosis as an effective treatment for tubal sterilization. ASRM has consistently supported sterilization reversal as an alternative to in-vitro fertilization (IVF). They have consistently concluded that Tubal anastomosis for reversal of tubal sterilization has a significantly higher cumulative pregnancy rate than IVF, and it is more cost-efficient, even in women 40 years of age or older.

HOW WE DO IT

The crucial point to understand is that the fallopian tubes can be smaller than 1/10th of an inch in diameter, necessitating advanced technology and a surgical microscope for proper magnification and precision. At our center, we utilize the most advanced surgical microscope, operated by double board-certified microsurgery expert. The most important take-home message is simply that.

The primary benefit of tubal reversal for our patients is its effectiveness. Nestled in vibrant Los Angeles, California, our center offers solutions that extend beyond mere effectiveness. With over 25 years of expertise, we specialize in a safe, cost-effective approach to tubal reversal surgery.

Under the care of our board-certified expert, patients undergo a minimally invasive procedure. This is performed through a small 5 cm (2 in) incision, utilizing specialized microsurgery techniques, enhancing success rates while minimizing postoperative discomfort and enabling a swift, smooth recovery. During the 40 to 70-minute procedure, a specialized tube is gently inserted into the uterus to allow the passage of dye through the fallopian tubes, confirming their patency and ensuring optimal outcomes.

Patients are discharged post-operatively the same day with pain management and antibiotics, supported by 24/7 access to their surgeon’s cell phone for any concerns.

While all surgeries carry inherent risks, our experience shows that immediate risks are minimal at our center. We provide comprehensive guidance to mitigate the risk of ectopic pregnancy, including early monitoring protocols. In the rare event of an ectopic pregnancy, our tailored approach, which includes medical intervention and close follow-up, ensures the utmost safety and care for our patients’ fertility journeys.

Serial hCG testing, individual pelvic ultrasound, and medical treatment with methotrexate can effectively treat most early ectopic pregnancies.

Your Path to Parenthood Redefined

Premier Facilities

Our clinics are not just medical centers, they are modern sanctuaries where cutting-edge technology harmonizes with comfort in the hands of board certified microsurgery expert. Crafted to deliver on peril surgical care, our facilities are equipped with the latest advancements in two world reversal procedures, ensuring that every step of your journey is met with excellence and innovation. Located in the heart of west los angeles, california our center offers more than just exceptional medical care. It provides a nurturing environment where your comfort and well-being are paramount. From the moment you step through our doors, you'll experience the difference that state of the art facility and compassionate care can make in your pursuit of fertility renewal. Discover a new standard of excellence at our clinic, where advanced technology and personalized attention come together to empower your path to become a mommy again.

Unmatched Affordability

We understand the financial considerations that come with medical procedures, which is why we're committed to providing the most cost-effective solutions without compromising on quality. Our promise is simple: the lowest possible prices for top-tier services. And if you find a lower offer elsewhere, we're prepared to discuss options to meet or beat it. Experience exceptional care that's within reach.

Expert Care Team

At the heart of our practice a dedicated team of professionals, each committed to providing exemplary care tailored to your unique needs are available to you. With years of collective expertise in tubal reversal surgery, we stand beside you every step of the way on your journey to parenthood. More than just medical professionals, we're compassionate allies, offering unwavering support that extends far beyond confines of the surgery room. From the initial consultation to post-operative recovery and beyond, we prioritize your well-being, ensuring you feel heard, understood, and empowered throughout the process. Our mission is simple: To help you realize your dream of expanding your family. With our expert guidance and personalized care, we're here to make that dream a reality, guiding you towards a brighter, more fulfilling future.

Complimentary Consultation

Experience the difference of personalized care with our complimentary consultation. We believe in laying a strong foundation for your tubal reversal journey right from the start. That's why we offer you a no cost consultation, where our expert provides personalized attention and evaluation tailored to your unique needs. During this initial step, we prioritize ensuring that you feel informed, valued, and truly understood. It's our commitment to setting the stage for a successful path to extending your family. Take the first step towards your dreams of parenthood with us.

FREE PHONE CONSULTATION

Take the first step. Get personalized attention and evaluation for free

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Worried About Expenses?

Our goal is to make fertility treatments both accessible and affordable for Los Angeles area patients, regardless of their financial standing. We accept various insurance plans and offer financing options through third-party lenders to help ease the financial burden of your fertility journey. For our international patients, we strive to minimize costs by collaborating with local physicians, reducing the need for an extended stay in the US.

Begin Your Journey to Growing Your Family

Our Los Angeles center’s tubal reversal offers high success, multiple pregnancies without further interventions, and minimal pain. Quick recovery, same-day discharge, and 24/7 surgeon access ensure safe, effective treatment with minimized risks.

Dr. Bonni

We push the limits of what's possible for our patients.

Meet Our Tubal Reversal surgery expert.

Our clients are our priority, we offer
quality medical services with a team of specialists.

Welcome to the world of Dr. Bonni, a beacon of hope for individuals seeking to revisit their fertility decisions through Tubal Ligation Reversal Surgery. Dr. Bonni stands out as the only surgeon with dual board certifications in Female Pelvic Medicine and Reconstructive Surgery, as well as Obstetrics & Gynecology. His unique journey is further distinguished by approved fellowship training in both Urogynecology-Pelvic Surgery and Cosmetic Surgery, offering a rare combination of expertise under one roof.

Whatever your concern, we are here to help!

Itubal provides a swift referral system, ensuring immediate support and high-quality service for your reproductive health journey:

FAQ

Most patients can begin to attempt pregnancy 4 weeks after the surgery. In our center, we do our microscopic reanastamosis through a 5cm (2 inches) incision.

Success rates may vary widely depending upon numerous factors such as age, how the tubes were tied, coexisting infertility issues, male factors, and others. In general, good candidates under 35 years of age can expect tubal reversal pregnancy rates between 65-70% within two years of the tubal reversal surgery.

No, it doesn’t. Keep in mind that your age is a factor and generally speaking, the earlier the better. So the take-home message if you are committed to having another baby is to get scheduled like yesterday.

Yes.  It is done as an outpatient procedure and under general anesthesia. You will be discharged to go home after surgery.

In straightforward cases, it is about one hour, but plan to be at our center for about 3-4 hours for preoperative, operative, and postoperative care.

You have two choices for pregnancy after tubal sterilization. In Vitro Fertilization (IVF) or Tubal reversal. In comparison, the cost of a single cycle of in-vitro fertilization (IVF) averages $14,000 and the average IVF success rate is 36% per cycle (takes about 2 months) attempted.

You are not too old for surgery if you are 35 years of age or older. Although being over 35 is considered Advanced Maternal Age (AMA), AMA status has nothing to do with the ability to become pregnant after tubal reversal.  Although natural pregnancy is more difficult to obtain with increasing age, pregnancy can occur at almost any age if you are having regular periods. The ability to become pregnant does not decline dramatically until after the age of 43.

Wear a comfortable button-down blouse and easy-to-put-on pants. Have warmer outerwear such as coats and jackets available in case. Leave all valuables and jewelry at home.

No, you must have a friend or family member pick you up.

Depends on what their definition of major surgery is. We perform this through one very small incision about 5 cm or about 2 in long using the most advanced state-of-the-art surgical microscope. We do it outpatient and it’s very well tolerated in general.
Many different factors come to play a role such as your BMI previous number of cesarean sections and abdominal surgeries other complicating uterine or fallopian tube procedures, and the type of tubal ligation to name a few.
For you to become a mommy again you either have to do the tubal reversal or choose to go with in vitro fertilization. In vitro fertilization for ladies 40 and above has about a 10% success rate and for ladies under 35 is at best around 30% per cycle. The cost is about $30,000 per cycle which is usually two months. The chance of success with tubal reversal is much higher than that although it depends on many other factors such as the type of tubal ligation the length and the quality of the leftover tube.
Surgical pain usually is consistent with the size of the incision length of the operation blood loss to name a few. In our practice, we use an advanced surgical microscope through a single small incision. Our patients can go back to sitting jobs within days and usually completely recover within 2 weeks. Post-operative pain is a subjective matter but most patients are very well controlled with non-narcotic painkillers.
This procedure is outpatient and after the surgery, you’ll be able to go home.
The downtown also depends on many other comorbid factors such as BMI other medical conditions previous surgeries the length of the surgery length of anesthesia and its related side effects but in our practice, this usually is about 2 weeks.

It’s like any other surgery ie e. bleeding, infection, injury to internal organs, risks of anesthesia, the possibility of admission to hospital for various reasons, and complications.

In our practice, this is relatively fast since we make a very small incision and use the most advanced surgical microscope for the delicate manipulation of tissues. Usually 2 weeks.