Tubal Sterilization Surgery

Tubal sterilization is one of the most effective forms of birth control. It blocks the egg from being fertilized by sperm. This prevents pregnancy. The surgery can be an outpatient procedure or done after the birth of a child. It can be done at the time of delivery if you are having a cesarean section.

Outline of woman's pelvis showing vagina, uterus, fallopian tubes, and ovaries.

Making the decision

If you have tubal sterilization, you most likely will never get pregnant again. Be sure that’s what you want. Talk it over with your healthcare provider and your partner. Surgery to undo tubal sterilization is complicated. It's costly. And it's not always successful. So, think of tubal sterilization as a lifelong birth control choice.

Closing the tubes

Your healthcare provider will advise you on the best sterilization method for you. Tubes may be closed in one of the following ways:

Cut and tied with special thread
Closed with heat (cauterization)
Closed with a clip or band
Sealed with an electric current
Tubes removed

Your surgery

Your healthcare provider will tell you about your choices for how the surgery will be done. There are several choices for surgical sterilization. Your provider will also discuss with you the complete removal of the tubes as an added benefit to decreasing ovarian cancer risk.

Laparoscopy	Mini-laparotomy
This surgery is done without a hospital stay. For the procedure, a laparoscope is used. This is a thin tube with a camera and a light on the end. The healthcare provider makes 1 to 2 small incisions in the stomach. The scope is put through one of the incisions. The scope sends live pictures of your fallopian tubes to a video screen. Surgical tools are placed through the other small incisions. Using the live images, the healthcare provider closes your tubes. All tools are removed. The incisions are then closed with stitches or staples.	A small incision is made near the navel or at the pubic hairline. This surgery is often done right after childbirth. An incision is made just underneath the belly button. Just after childbirth your uterus is enlarged. So it's easier to locate the tubes from an incision near the navel than from an incision near the pubic bone. The healthcare provider works through this incision to close the tubes. The incision is then closed with stitches or staples. After a cesarean section delivery, the sterilization can be done through the existing incision.

Laparoscopy

Mini-laparotomy

This surgery is done without a hospital stay. For the procedure, a laparoscope is used. This is a thin tube with a camera and a light on the end. The healthcare provider makes 1 to 2 small incisions in the stomach. The scope is put through one of the incisions. The scope sends live pictures of your fallopian tubes to a video screen. Surgical tools are placed through the other small incisions. Using the live images, the healthcare provider closes your tubes. All tools are removed. The incisions are then closed with stitches or staples.

A small incision is made near the navel or at the pubic hairline. This surgery is often done right after childbirth. An incision is made just underneath the belly button. Just after childbirth your uterus is enlarged. So it's easier to locate the tubes from an incision near the navel than from an incision near the pubic bone. The healthcare provider works through this incision to close the tubes. The incision is then closed with stitches or staples. After a cesarean section delivery, the sterilization can be done through the existing incision.