The reality TV star, 34, was filmed preparing for the operation in this week's Keeping Up With The Kardashians.
A heartbroken Kim is also told that she may not be able to carry another baby after giving birth to her first child North West in June 2013.
In scenes shown on Easter Sunday (5 April), Kim receives the upsetting news that she and husband Kanye West may have to use a surrogate in their bid to have another baby.
Kim was rushed to hospital to undergo an emergency operation to remove some of her placenta from her uterus left behind from her birth to North.
Fighting back tears, Kim said: "There is nothing more on this earth that I want more than to be pregnant again and to go through that experience, I would pay any amount of money to have that.
"Surrogacy is really scary for me, I don't want one, I don't want that to be my reality.
"It's my last resort, surrogacy. As much as I hated being pregnant, and I complained every step of the way and joked that I didn't want one, I really don't want a surrogate.
"I wouldn't dare ask anyone to do this for me. It freaks me out, what if they're a lunatic, what if they run off with my baby? I can't do it, I just can't."
Despite Kim's hopes of having a second child being crushed on the reality TV show, she and Kanye put on brave faces when they attended church with their 22-month-old daughter North on Easter Day.
The Kardashian-Jenner clan all dressed in various shades of white to attend a church service in West Hills, Hollywood.
Kris Jenner, boyfriend Corey Gamble, Khloe Kardashian and Kendall Jenner looked perfectly coordinated as they arrived en masse.
Meanwhile, Kourtney went with son Mason and daughter Penelope. Baby Reign was not present, nor was boyfriend Scott Disick, who is believed to still be in rehab.
Kim's youngest sibling Kylie attended the family affair with rumoured boyfriend Tyga, who bought son King along too - his son with ex-fiancé Blac Chyna.
Keeping Up With The Kardashians is on every Sunday at 9pm on E!
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