A tubal ligation — also known as having your tubes tied or tubal sterilization — is a type of permanent birth control. During a tubal ligation, the fallopian tubes are cut or blocked to permanently prevent pregnancy.

A tubal ligation disrupts the movement of the egg to the uterus for fertilization and blocks sperm from traveling up the fallopian tubes to the egg. A tubal ligation doesn't affect your menstrual cycle.

A tubal ligation can be done at any time, including after childbirth or in combination with another abdominal surgical procedure, such as a C-section. It's possible to reverse a tubal ligation — but reversal requires major surgery and isn't always effective.

Tubal ligation may be recommended for adult women who are sure they do not want to get pregnant in the future. The benefits of the method include a sure way to protect against pregnancy and the lowered risk of ovarian cancer.
Women who are in their 40s or who have a family history of ovarian cancer may want to have the whole tube removed in order to further decrease their risk of later developing ovarian cancer.
However, some women who choose tubal ligation regret the decision later. The younger the woman is, the more likely she will regret having her tubes tied as she gets older.
Tubal ligation is considered a permanent form of birth control. It is NOT recommended as a short-term method or one that can be reversed. However, major surgery can sometimes restore your ability to have a baby. This is called a reversal. More than half of women who have their tubal ligation reversed are able to become pregnant. An alternative to tubal reversal surgery is to have IVF (in vitro fertilization).
A hysteroscopic tubal occlusion procedure is very hard to reverse. In this case, the best option would be IVF.