Yes. Essure implants can be removed. The process of removal can be more or less complex, depending on the surgical technique and other considerations.
Techniques for Essure implant removal include:
Tubal removal (bilateral salpingectomy): Both fallopian tubes are completely removed.
Hysteroscopic removal: In some cases, Essure implants can be removed in a hysteroscopic procedure. This technique is not always successful, especially if the implant is tightly embedded within the tissue of the tube.
Bilateral cornua removal: The removal of the tubes in addition to the point of attachment between the tube and the uterus, called the cornua. This is performed when the Essure implant is completely embedded within the cornua. This is a more complex laparoscopic surgery, and the risk of hysterectomy — although rare — must be considered.
These Essure removal techniques are generally considered low-risk surgeries. However, as with any surgery, there are risks that must be considered and should be discussed in detail with your doctor prior to surgery.