Tubal Ligation

Tubal ligation, commonly referred to as "having your tubes tied," is a permanent surgical method of female sterilization that involves blocking or cutting the fallopian tubes to prevent eggs from traveling from the ovaries to the uterus and to prevent sperm from reaching the eggs. This procedure is considered permanent birth control and is intended for women who are certain they do not want any future pregnancies. Tubal ligation is over 99% effective at preventing pregnancy and is one of the most common contraceptive methods used by women worldwide.

There are several surgical techniques for tubal ligation, including cutting and removing a section of the tubes, blocking the tubes with clips or rings, or completely removing the fallopian tubes (salpingectomy). The procedure can be performed through various approaches including laparoscopy (minimally invasive surgery through small incisions), minilaparotomy (small abdominal incision), or during cesarean section delivery. Laparoscopic tubal ligation is the most common approach for interval sterilization (performed when not pregnant) due to its minimal invasiveness and faster recovery time.

The procedure is typically performed under general anesthesia as an outpatient surgery, meaning patients can go home the same day. During laparoscopic tubal ligation, small incisions are made in the abdomen, and a camera (laparoscope) is inserted to visualize the reproductive organs. The fallopian tubes are then blocked or cut using specialized instruments. The surgery usually takes 30-60 minutes, and most women can return to normal activities within a few days to a week, though heavy lifting should be avoided for several weeks.

While tubal ligation is considered permanent, it's important to understand that reversal procedures exist, though they are more complex, expensive, and not always successful. In vitro fertilization (IVF) may be an option for women who desire pregnancy after tubal ligation. Potential risks of the procedure include bleeding, infection, damage to nearby organs, and rare complications related to anesthesia. There is also a small risk of ectopic pregnancy if the procedure fails. Our comprehensive preoperative counseling ensures patients fully understand the permanent nature of the procedure and have considered all contraceptive options before making this important decision.