192 reviews of Temecula Valley OB/Gyn Medical Associates "I went to this office for the Essure procedure, so this is based on only that process and not any pregnancies or the like. In fact, Essure is a procedure equivalent to getting my tubes tied but less evasive and done in the office. My initial visit to see Dr. Elfelt was fine, though I felt a little uncomfortable in the waiting room (not ....