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The rating's comment: My husband and I had visited an invitro specialist prior to Dr. Berger and they told me that they were my best option over tubal reversal, but that they didn't do them after 43. At the time I was 42 1/2 and had to figure out how to come up with 20,000 plus. It wasn't very encouraging. I had, had my tubes tied for over 14 years prior to meeting Dr. Berger. We found Dr. Berger and called the office with a million and one questions. The price was no where near 20,000 dollars and they were very encouraging even though I was at this time 43 1/2. I had my surgery Oct 31 2008 and the staff was great. I got a positive on March 2009 (5 months later). I am due in Dec. 2009. Even when I had questions after the surgery and after I got pregnant the office staff and Dr. Berger was available to answer my questions. We used the Medchoice option and paid it off with our tax return then we were able to go ahead and get the surgery.