Getting Started with Tubal Reversal Surgery

How to Arrange Your Tubal Reversal Surgery

Getting Started/Checklist/Forms

If at any point in the process of “getting started” you need some assistance you may call the office and speak to any of our knowledgeable staff members. The receptionist will be the person to organize and retain your records until all needed documentation has been received. Once all documentation is in place, Melinda Harris will be the contact person to coordinate for Dr. Williams or Dr. Smith to review your records.

Contact Us

Our office can be contacted from:

8:00am to 5:00pm EST Monday through Thursday

8:00am to 4:30pm on Friday’s

1-866-540-5190, or 434-654-8520 or by E-mail .

Our fax # is 434-654-8521.

Mailing address: 595 Martha Jefferson Drive, Suite 390, Charlottesville, VA 22911.

Checklist- Steps you need to take to move forward

Not everyone is a good candidate for outpatient tubal ligation reversal, so we ask you to start by:

Step 1- filling out a questionnaire to help us to get to know you. The questionnaire gives us details of your medical history, past surgeries, weight and height and other important details.

In general, outpatient tubal reversal is possible in women less than 200 lbs. However, there is significant variation depending on your height and where fat is distributed. An inpatient tubal ligation reversal is also an option, but significantly more expensive.

Step 2- obtain the operative report and pathology report from the doctor who did the procedure or the hospital where it was performed. They usually require you to complete a medical record release form in order to obtain a copy.  If a copy of your operative report is not able to be found then (you need try both the hospital and physician’s office first), oftentimes, it is still possible to give you good advice about your chances of success. Many women remember their doctor telling them how their tubes were tied. For instance, many women know that clips were applied. We are happy to help you with obtaining the operative report but you will still need to fill out a medical record release form and provide us with a copy.

Step 3- complete a female medical release form and a male medical release form.  These are not medical releases to obtain medical information on either of you but to allow us to talk to both of you about each other’s care, results and treatment.  Please print two forms: one for you to complete with your partner’s information and one for your partner to complete with your information.  Also complete the new patient registration form.

Step 4- is to fax, email or mail the questionnaire, registration form, male and female medical releases, and operative report and pathology report to Melinda Harris.  Fax #434-654-8521; E-mail ; address 595 Martha Jefferson Drive Suite 390 Charlottesville, VA 22911.  We recommend that you send all required documentation together to avoid potential problems with matching medical records to patient forms.

Prosper Logo

Step 5- Call the receptionist to acknowledge receipt.  The review process will take about 1-2 weeks and one of the staff members will contact you to set up a time for Dr. Williams or Smith to consult with you by phone if you live greater than 3 hours away or an appointment here in the office.

Step 6- We always suggest a semen analysis be done prior to surgery.  This can be done locally and we can order it for you.

Initial Evaluation by Phone

We want to make it as easy as possible for you to access us no matter where you live.  If you live greater than 3 hours away, your consult will likely occur over the phone.  If you are closer than 3 hours away, your consult will be in the office.  You will need a physical exam and to complete the surgical paperwork with Dr. Williams or Dr. Smith prior to your surgery. So, if you live within 3 hours of our office, it is most efficient to have the initial visit and physical exam done here in advance. When your surgery is scheduled, an appointment for physical exam and consenting will occur the afternoon prior to surgery the following day or the day of surgery if your consult was done over the phone.

Translate »