es only one or two small incisions in the lower abdomen. Laparoscope is inserted into the abdomen through an incision near the belly button so that the doctor can see the tubes. Harmless gas like carbon dioxide is used to separate the organs. Then the small instruments that are used to actually clasp and block the tubes are carefully inserted into the abdomen either through the same incision or through a second small incision near the pub- hair line. Minilaparotomy approach can be used either postpartum or at any time unrelated to pregnancy or delivery. In this type of surgery the doctor reaches the tubes by way of an incision in the lower abdomen, just above the pubic bone.Tubal legation is one of the most effective-if not the most effective birth control method availabe. Fewer than one woman in two hundren becomes pregnant in the first year after tubal ligation. Some failures do happen. In which the severed ends of the tubes manage to reconnect.Tubal ligation can be done in a hospital, clinic, or out-patient surgery center. Today majority of women choose anesthesia before the surgery. You can have the operation while you're in the hospital to deliver baby, or at any other time unrelated to pregnancy or delivery. Costing about two thousand dollars. Prices vary from doctor to doctor.Tubal ligation is effective immediately. As soon as the tubes are closed off, fertilization can no longer occur. You don't have to bother with birth control anymore and the side effects are minor.Tubal legation is a surgery. Therefore there are some risks involved. This method must be considered irreversible. Younger women might regret the surgery. The surgery is expensive. Tubal ligation does not provide any protection against common sexually transmitted diseases, such as herpes, chlamydia, and HIV virus.In my opinion. This method is great for women that are done with their child baring years and do not want anymore kids or accidental pre...