พญ. Gaya Murugappan, สหรัฐอเมริกา

After we shared our feedback, the team contacted us and took our case very seriously. Their response was remarkable—they sincerely listened, sought to understand our entire experience, and showed a genuine commitment to improvement. They are actively working to gather more direct feedback from patients undergoing fertility treatment. This response gave us confidence that they are committed to improving the patient experience. ------------------------------------------------------------------------------------------------ I deeply regret choosing Spring Fertility for our fertility journey. The frustrating part is that the doctors and staff are wonderful when you are physically in the clinic—they genuinely care, provide support, explain everything, and make sure you are comfortable. But once you leave, it feels like dealing with a completely different organization, and the experience becomes a nightmare. **Communication is extremely poor.** Urgent questions take days to receive a response, and even then the answer rarely addresses what I actually asked. Trying to reach them by phone? Good luck. They do everything possible to avoid real-time communication and force everything through a messaging system. **There is no guidance during this emotionally difficult treatment.** When we scheduled treatment, no one called to explain what to expect. They simply sent forms for different protocols to sign without explaining why one might be chosen or how the medications work. When my wife developed severe side effects, they left her without guidance for days until she had to stop the medication herself. **The disorganization is shocking.** After our cycle failed, we needed follow-up tests that should have been prioritized so we could decide on the next treatment. Despite messaging every week for a month, we discovered they had not even started because the financial department never contacted us about payment. When we first asked about cost, they quoted one price, but the actual amount was four times higher. Such a large difference could completely change a treatment decision. **You truly feel like a walking wallet.** You pay astronomical fees for treatment with no personal care or support. They show no understanding of how sensitive and time-critical this journey is. Their delays and poor communication do more than waste time; they harm relationships and mental health during an already difficult process. Save yourself the heartbreak and choose a clinic that truly values patients rather than profit. During one of life's most challenging periods, you deserve compassionate and organized care.

Our infertility journey over the past five years has been long and challenging, but Spring's support made it easier. The nurses and doctors communicated promptly, everyone treated us warmly, and they even provided heated blankets that made difficult in-office procedures a little easier. We enjoyed working with Dr. Chervenak, who patiently answered our questions and proactively called to discuss treatment insights. Our concerns and ideas were heard, and we felt they had our best interests at heart.

An absolute nightmare. They provided no treatment plan or timeline and there was no communication. Month after month passed, and we still did not know what to do. The app is a joke, and you cannot contact the doctor directly. They sent treatment consent forms two months ago; we told them certain fields needed correction before we could sign, but they still have not responded. If you want IVF, go elsewhere.

First, I am very grateful to have met Dr. Murugappan and gone through this journey with her. I believe she set appropriate expectations while remaining very kind. Her team took excellent care during the egg retrieval. Special recognition goes to Nurse May, who explained the process carefully and slowly and guided me through injections and supplements. Communication through the Salve app was an added benefit because even if they missed a call, they responded later in Salve. After the retrieval, they continued checking on my health, listened to all my questions and concerns, and helped with postoperative care. I would recommend Dr. Murugappan without hesitation.

I knew very little about IVF, egg freezing, or embryo freezing. I met with Dr. Murugappan, who was knowledgeable and thoughtful and gave me enough information during the consultation. Special thanks to her. Throughout the process, she was supportive and kind and made me feel at ease. The nursing team and doctors I saw this week were also friendly and welcoming. I like the app they use for communication. It was confusing at first, but became easy after exploring it. I am not a phone person because I spend all day on calls, so I liked being able to reach nurses and administrators easily through the app. They responded promptly within 24 hours, even on weekends when I contacted them with concerns. The process was smooth, and the staff followed up attentively. I know the reviews are mixed, but ask questions, be patient, and speak up if you are unhappy. The process is physically and mentally stressful; the last thing you need is more stress.

Everything and the overall experience were excellent. The process was smooth and pleasant.

The clinic has modern facilities and professional physicians, but the overall process felt highly standardized and lacked individualized care. After my embryo transfer, I received no progesterone or other medical support, and they did not subsequently check my progesterone level, even though current research considers progesterone monitoring an important part of IVF management. Communication was also difficult. My messages through the patient portal often went unanswered, and I received only a brief notice that my result was negative, with no explanation or follow-up. On the same day I received the negative result, a nurse immediately asked whether I wanted to begin another cycle, without suggesting a break or evaluation, and the doctor was completely unavailable. When I asked about individualized treatment, the nurse gave a very standardized response and told me that they generally do not provide personalized care. Reaching the doctor was also extremely difficult. I lost confidence in the physician because my treatment felt poorly managed and lacked appropriate medical oversight. IVF is an emotional and expensive journey, and patients deserve empathy, communication, and treatment plans tailored to their specific needs. I sincerely hope the clinic improves its quality of care, follow-up, and ability to provide more individualized and compassionate treatment.

I had an excellent experience at Spring Fertility Sunnyvale with Dr. Murugappan! I completed four egg-freezing cycles at Spring, all with good results. From the beginning, Dr. Murugappan carefully tailored my treatment plan to my age and fertility markers. Throughout the process, she was honest, positive, and reassuring. I also found the nurses very friendly, and communication was excellent, with consistently quick replies through the app. The clinic facilities are new and modern. By the end, after four egg-freezing cycles, I even began to enjoy the process =) Overall, I highly recommend Spring and Dr. Murugappan!

I am deeply grateful to Spring for helping me become a mother. Before coming here, I completed three IVF cycles at two other very well-known clinics. Those experiences were terrible; treatment failed and made my health worse. Honestly, I hated those clinics. More than two years ago, I came to Spring and met Dr. Tran. He was very confident and genuinely willing to listen to patients. His protocol worked extremely well for me. The entire IVF process went smoothly, and Dr. Tran and Dr. Debra carefully monitored every step. Dr. Debra performed the egg retrieval with great care and success. Before the embryo transfer, nurse Ursula completed a thorough assessment, and Dr. Tran personally performed the FET. My medication nurse was Julie, who was also outstanding. The entire process was smooth and efficient, and I am very pleased with the outcome. My baby is now over a year old. Thank you again, Spring, for making my dream come true.

I had an excellent experience working with Dr. Gayu Murugappan and her team. I completed a procedure several years ago, but later developed a medical condition that delayed our family plans and created a great deal of uncertainty. I met with Dr. Murugappan to discuss the situation. She was very understanding and helped me make an informed decision focused on supporting my recovery while preparing alternative options until my procedure could be completed. This led to another round of treatment earlier this year. I encountered an insurance issue that left me overwhelmed. The office helped me resolve the complex situation efficiently through the app, allowing me to begin and successfully complete the procedure. The office may not always be reachable by phone, but they consistently responded through the app or platform the same day. Sometimes several messages were needed, but I found them professional and thoughtful. Throughout the procedure, everyone I met showed care and attention despite managing many patients each day. They made me feel heard, seen, and understood. The doctor was willing to review medications prescribed by my functional medicine physician and confirm which were safe to use. She did not criticize or comment on my plan to use alternative medications, which made me feel exceptionally supported during an at times overwhelming and emotional treatment process.

We loved working with Dr. Murugappan and her Spring team. She set clear expectations and made sure all our questions were answered. I cannot wait to work with her again!

I am very pleased with the care and outcome of my egg freezing. Appointments were scheduled promptly, and the nurses’ follow-up was extremely helpful in keeping me on schedule. Every staff member, nurse, and doctor was helpful, thoughtful, and patient. Highly recommended; the entire process went very smoothly. One minor issue was that I independently read supplemental AI materials and adjusted my diet and fluid/electrolyte intake. The clinic did not provide this kind of comprehensive information, although they did an excellent job with medications, medication information, recovery checks, and related matters.

The staff at this clinic are extremely disorganized and unprofessional. Minor paperwork errors delayed my procedure for several weeks, then on the day of my final appointment they suddenly required me to pay $349 out of pocket. They had my insurance information well in advance, and this lack of transparency is inexcusable. Their behavior was rude and felt like a tactic to pressure me into paying. I would not recommend this clinic.

Dr. Gaya Murugappan and the entire Spring team are excellent. Dr. Murugappan took time for an in-depth conversation with me, and every staff member I encountered was patient, friendly, and knowledgeable. Spring truly guides patients through a complex and deeply personal treatment process with compassion and clear explanations. I am very pleased with my experience and plan to return for care.

An excellent medical experience. The doctor and staff were caring, professional, and attentive. I was very pleased with how smoothly the entire visit went.

I had a good experience at Spring Fertility. The staff were friendly and professional and explained everything clearly.

I had an excellent experience at Spring Fertility. The team was friendly and efficient and made me feel comfortable throughout. Definitely recommended!

I had a wonderful experience at Spring Fertility. The staff were friendly and professional and made the entire process comfortable and clear. Everything was well organized, and I felt supported throughout my visit.

I had a wonderful experience at Spring Fertility. The team was friendly and professional and kept me supported and well informed throughout the process. Highly recommended!

Throughout my treatment, the team was caring, knowledgeable, and highly supportive. I am very grateful for the excellent care they provided.

I completed egg freezing at Spring about a month ago, and I cannot say enough good things about my experience. I initially chose Spring because my colleagues at Stanford highly recommended Dr. Murugappan, and she truly exceeded my expectations. From the first consultation, I felt heard, supported, and cared for. Dr. Murugappan is a breath of fresh air—she takes the time to understand your goals, listens carefully, explains every step in detail, and always ensures you feel comfortable and fully informed before making decisions. The entire Spring team made what could have been a stressful and emotional process feel easy, manageable, and reassuring. From ultrasounds to blood draws, every visit was efficient, comfortable, and professional. As monitoring appointments became more frequent later in treatment, I continued to feel warmly welcomed and genuinely cared for. The laboratory technicians were friendly and kind, and the nursing staff in both the clinic and the preoperative and recovery areas were attentive, thoughtful, and highly skilled. Special thanks to my coordinator, Safa, who kept everything extremely well organized. Scheduling, financial follow-up, instructions, and expectations were all communicated very clearly. The patient app was also easy to use, and I was impressed by how quickly every question I asked was answered. Knowing there was also an emergency contact number gave me additional peace of mind throughout the process. I would also like to thank my nurse, May. The medication plan and dosage instructions were always clear. She not only sent detailed messages but also called to confirm that I understood everything and to answer any questions. That level of attentive care meant so much to me. Finally, thank you to my procedure team, including my anesthesiologist, for making the egg retrieval smooth and comfortable. Most of all, thank you, Dr. Murugappan, for making me feel safe during such a vulnerable and important time in my life. Your compassion, professionalism, and genuine care for your patients are admirable, and I am sincerely grateful. Fertility preservation can feel overwhelming, but Spring made me feel supported at every step. I wholeheartedly recommend this clinic to anyone considering fertility treatment or fertility preservation. I am deeply grateful to every member of the team for the exceptional care they gave me. —Chelsea

My experience as a gestational carrier with Spring Fertility was extremely disappointing and distressing. Unfortunately, communication, responsiveness, and coordination fell far below my expectations throughout the process. One of the main problems was poor communication through the patient portal. My messages often went unanswered, and even when I received a response, it was frequently delayed. As a gestational carrier following a strict medication protocol, timely and accurate information was essential. Instead, I often felt left to find answers on my own. The medication process was also not explained adequately. I repeatedly had questions about the medications, timing, and next steps, but the clinic team did not provide enough assistance. Gestational carriers devote significant time, energy, and physical effort to the process, and clear communication should be a top priority. The most distressing part of my experience occurred during the embryo transfer cycle. The day before the scheduled transfer, I personally confirmed the appointment with the clinic, including my arrival time, required documents, and medications I needed to continue. Based on that confirmation, I flew to California, arranged childcare, took time off work, and continued following the clinic's instructions. Despite this, after I arrived in California and prepared for the transfer, I was told about an hour before the scheduled time that the embryo transfer cycle had been canceled. After weeks of medication, injections, monitoring appointments, travel arrangements, and personal sacrifices, this last-minute cancellation was devastating. The canceled cycle caused unnecessary emotional distress, financial loss, travel and childcare expenses, and lost wages. It was even more frustrating because the clinic had confirmed the appointment only the previous day, giving me no reason to suspect the transfer would be canceled. Throughout the process, I also found much of the clinic's communication cold and insensitive rather than supportive. Gestational carriers deserve to be treated with respect, compassion, and professionalism throughout the process. Unfortunately, I did not receive that level of support at Spring Fertility. Based on my experience, I cannot recommend Spring Fertility to other gestational carriers. Poor communication, slow responses, inadequate medication support, and canceling the procedure after I had already traveled to the clinic and prepared for the transfer caused tremendous stress and disappointment.

The team was compassionate, knowledgeable, and supportive throughout the process. I am very grateful for their personalized care.