Tubal Ligation (Laparoscopic Bipolar Tubal Coagulation)


This procedure, commonly called “having one’s tubes tied,” is performed to block the fallopian tubes to prevent pregnancy. It is performed with the aid of a lighted viewing telescope, called a laparoscope, and usually takes about 30 minutes to complete.


In preparation for the procedure, the patient is positioned and general anesthesia is administered. The physician creates one or two tiny incisions in the abdomen to access the fallopian tubes. The physician carefully inflates the abdomen with carbon dioxide. This lifts the abdominal wall and separates the organs, creating space so the physician can insert the laparoscope and safely access and visualize the pelvic organs.

Treating the Tubes

The physician isolates and carefully grasps a small section of fallopian tube with specialized forceps that are connected to an electrical supply. An electrical current is passed through the forceps, creating a controlled burn that damages the tube. More than one section of the tube may be treated, ensuring the blockage of sperm and egg cells. The process is repeated on the other fallopian tube. Over time, the ends of the tubes will scar and may completely separate.

End of Procedure and Aftercare

When the procedure is complete, the instruments are removed and the incisions are bandaged. After a short period of monitoring, the patient will be able to return home. Most patients will be able to return to work within a few of days of the procedure.