Tubal Ligation Reversal (Bilateral Tubal Anastomosis – BTA)

Regain the chance for natural conception with tubal reversal, a microsurgical procedure designed to repair fallopian tubes and help you grow your family.

Tubal Ligation Reversal

Regain the chance for natural conception with tubal reversal, a microsurgical procedure designed to repair fallopian tubes and help you grow your family.

Restoring natural fertility after tubal ligation.

A bilateral tubal anastomosis (BTA), commonly known as a tubal reversal, is a microsurgical procedure that repairs the fallopian tubes after a previous tubal ligation (clips, rings, or cauterization).

During the surgery:

A small incision is made in the abdomen to access the fallopian tubes.
The blocked ends of the tubes are carefully opened under a microscope.
The two ends are reconnected to restore the natural passage for eggs and sperm.
A colored dye test confirms that the tubes are open and functioning properly.

Once the tubes heal, natural conception is possible again without the need for IVF.

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Success Rates and Recovery

Pregnancy success after tubal reversal depends on:

On average, over 75% of women conceive after a successful repair, with many able to try for pregnancy about one month after surgery.

A follow-up HSG (hysterosalpingogram) about 8 months later can confirm that the tubes remain open.

Experienced Surgeon

Over two decades of microsurgical expertise.

Tubal reversals at California IVF Fertility Center are performed on an outpatient basis by Dr. Zeringue, who has been performing these surgeries since 1995.

While serving in the U.S. Air Force, Dr. Zeringue helped women from across the country and overseas achieve pregnancy through microsurgery. His refined technique provides:

For many women, tubal reversal offers an effective, natural alternative to IVF.

To learn more, visit our dedicated website:

Preparing for Your Consultation

If you’re considering a tubal reversal or comparing it with IVF, schedule a consultation with one of our physicians.

Please bring any available records such as:

If you don’t have these records, contact the hospital or doctor who performed your tubal procedure — obtaining them may take several weeks.

Having this information ready helps us provide the most accurate assessment of your chances for success.

IVF as an Alternative to Tubal Reversal

In vitro fertilization (IVF) is a nonsurgical alternative for women who have had a tubal ligation. IVF involves:

Ovarian stimulation with medications for 15–20 days.
Egg retrieval under light sedation.
Fertilization in the lab to create embryos.
Embryo transfer—1–2 embryos placed in the uterus.
Optional freezing of extra embryos for future use.

Both tubal reversal and IVF can offer excellent results. Your physician will review the advantages and disadvantages of each so you can make an informed decision based on your age, medical history, and family goals.

Reclaim the Possibility of Pregnancy

At California IVF Fertility Center, our experienced team will help you decide whether tubal reversal surgery or in vitro fertilization (IVF) is the best path toward pregnancy based on your age, medical history, and family goals.

Schedule a consultation today to review your records, discuss success rates, and receive a personalized recommendation from our fertility specialists.

Why Choose California IVF?

High Success Rates – Over 75% clinical pregnancy rate in patients under 40 using a single embryo that passed genetic testing.

Comprehensive Fertility Care – From initial testing and surgery to IVF, ICSI, PGT genetic screening, and donor egg/sperm programs, all under one roof.

Cost-Effective Multi-Cycle Packages – Specially designed packages that save you money per cycle while providing flexibility and ongoing support throughout your journey.

Scientific Expertise & Compassionate Care – Board-certified reproductive endocrinologists, supported by experienced nurse practitioners and embryologists, provide care in a welcoming environment.

Support You Can Trust

Our clinic is a close-knit team of dedicated professionals, creating a warm and supportive environment for every patient. We value open communication and are here to guide you through every step of your journey. While we know not every path leads to pregnancy, our team is committed to making your experience as positive and caring as possible, supporting you every step of the way.

Ernest Zeringue MD

Medical Director

Gary Gross

Linda Zeringue

FNP-BC

Ashley Cook

FNP-C

Lindsey DeBruler

DNP | FNP-BC

We are proud to announce our selection in the top 50 clinics selected by Newsweek for inclusion in the list of America’s Best Fertility Clinics. Modern medicine is what makes us great, but our staff is what really set us apart. We are currently ranked 36th in the nation!

California IVF and Insurance

California IVF provides fertility care for patients enrolled in the major insurance networks throughout Northern California. In addition to a collaborative arrangement with UC Davis, we are also contracted with Sutter Health, Dignity Health/Mercy, NorthBay Healthcare, Tricare, the VA, and most private insurance plans. Many Kaiser patients come to us when infertility and IVF services aren’t covered.

UC Davis Health System

Our collaboration with UC Davis began in July 2011. Our physicians hold university appointments, are actively involved in resident and medical student education, and have access to patient records within the UC Davis system, ensuring seamless, coordinated care.

Research and Development

We are actively involved in fertility research with several UC Davis projects focused on reproductive genetics. We are also advancing technologies that improve genetic testing of embryos and measure cellular products beyond current capabilities, helping to develop the next generation of fertility innovations.

Insurance Benefits

We partner with most major insurance networks to help patients maximize their fertility benefits. Our dedicated insurance coordinators guide patients every step of the way, ensuring they understand and make the most of their coverage.

What Our Happy Parents Say

⭐⭐⭐⭐⭐

Couldn’t be more thankful for Cal IVF & Dr. Zeringue! The staff & nurses were really amazing & were always there to reassure me whenever I needed it. Got pregnant in our first IVF cycle! Will forever be so grateful for this team 🤍

Katie M.

⭐⭐⭐⭐⭐

We had an overall great experience with this clinic. Dr. Zeringue and his team were very professional and helpful. We had a very successful outcome.

Dana L.

⭐⭐⭐⭐⭐

Absolutely incredible staff, the kindness and thoughtfulness of each and every individual person was so sincere. After trying for years, two miscarriages and one ectopic pregnancy, my dreams of having a child was gone. Dr. Zeringue is the best Doctor for the job. My first time doing IVF and I am pregnant. It's all thanks to the wonderful team at California IVF. The entire process was smooth and stress-free. I 100% recommend Dr. Zeringue and his team for your IVF experience.

Rosina S.

⭐⭐⭐⭐⭐

They help make dreams come true.. Thank you ALL!!

Denea S.

⭐⭐⭐⭐⭐

I absolutely love the staff at California IVF!!! Over 3 years ago we started facing our battle with fertility and received help from California IVF. Dr. Z and his staff were so supportive and helpful. Our first transfer was not successful,but we tried again and we had our daughter. Now 3 years later we are back at it again with our 2 remaining embryos. The staff remembered us right away and have been most helpful is starting up this process again.

Krisha P.

⭐⭐⭐⭐⭐

Had the best experience with dr. Zeringue and his staff. After a year of trying other options with other clinics, We were successful on our first ivf cycle here at California IVF, and couldn’t be happier we are now expecting twins.

Albert A.

Questions You Might Have

Who is a good candidate for tubal reversal?

Tubal reversal may be an option if you previously had a tubal ligation using clips, rings, or cauterization and still have enough healthy fallopian tube remaining. Your physician will review your medical history and any surgical reports to determine eligibility.

How long is the recovery after a tubal reversal?

Most procedures are performed on an outpatient basis, and patients typically recover within one to two weeks. Light activity can usually be resumed in a few days, and pregnancy attempts can begin about one month after surgery.

What are the success rates for tubal reversal?

Success depends on several factors, including age and tubal health. On average, more than 75% of women conceive naturally after a successful repair. Your individual chance of pregnancy will be reviewed during your consultation.

How does IVF compare to tubal reversal?

IVF offers an alternative path to pregnancy without repairing the tubes. It can be a better option for women with severe tubal damage, limited tubal length, or advanced maternal age. Your doctor will help you compare both options based on your goals and fertility profile.

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