Tubal Ligation

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tubal ligation

Tubal Ligation

At Wave Plastic Surgery

Tubal Ligation in Los Angeles, Orange County and San Francisco

Tubal ligation, also known as tubal sterilization or “getting your tubes tied,” is a surgical procedure used for permanent birth control. The procedure involves blocking the fallopian tubes, which prevents the eggs from reaching the uterus and becoming fertilized. This is a highly effective form of contraception, with a success rate of over 99%.

Laparoscopic tubal ligation is a minimally invasive form of this procedure that uses a tiny camera, called a laparoscope, to see into the abdomen.  Laparoscopic tubal ligation is a highly effective form of contraception that can provide permanent birth control that offers no hormonal side effects and a quick recovery time.

If you are considering laparoscopic tubal ligation, contact us today to schedule a consultation with WAVE Plastic Surgery.

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How Does Laparoscopic Tubal Ligation Work?

Laparoscopic tubal ligation is a minimally invasive surgical procedure that involves making a small incision in the umbilical area through which a laparoscope is inserted. The laparoscope is a thin, flexible tube with a camera and light attached to it, which allows the surgeon to view the fallopian tubes on a screen.

Once the surgeon has a clear view of the fallopian tubes, they will make a 5mm incision and use a surgical instrument to seal the tubes. This prevents the eggs from reaching the uterus and being fertilized by sperm.  Because the incision is so small, it is often unnoticeable once fully healed.  The minimally invasive technique also leads to a quick recovery time, leading some to call this a Friday-Monday Surgery, meaning that if you have it on Friday, you will be able to go back to work on Monday.

Benefits of Laparoscopic Tubal Ligation

Laparoscopic tubal ligation is a highly effective form of contraception, with a success rate of over 99%. Some of the other benefits of the procedure include:

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The Tubal Ligation Process

Laparoscopic tubal ligation is usually performed as an outpatient procedure, which means you will not need to stay in the hospital overnight. The procedure typically takes less than an hour to complete.  Here’s what to expect from the procedure.

Preoperative Evaluation

A preoperative evaluation is required prior to all surgical procedures.  This involves a complete Medical history and Physical exam. A number of issues will be determined at that time. These include problems that may delay or indicate that the surgery cannot be performed for medical reasons.

Some examples include:

This examination can be performed by your personal Physician. All Lab work and reports will be sent to the surgeon for review prior to the meeting. Should a review of these reports indicate that there is a problem, the surgical team will discuss their concerns and formulate a plan with the involvement of the private Physician.  This keeps the patient from undergoing an unnecessary trip prior to a problem being corrected.  

Day of Surgery

On the day of surgery, the patient will arrive at the Surgical Center approximately one hour prior to their scheduled procedure.  Our Board Certified Anesthesiologists will discuss the types of anesthesia available and if the patient has any allergies. An IV will be started, and once the patient is under anesthesia, they will be taken to the operating room.

The Operation

Tubal Ligation is the surgical closure of the Fallopian tubes so that sperm & an egg cannot meet, resulting in fertilization & thus, pregnancy.  The procedure may be done shortly after childbirth, which is called a Postpartum Tubal Ligation.  It can also be performed when the patient is not pregnant and has not recently delivered a child. This is called an Interim Tubal Ligation.  The Interim Tubal Ligation is a “day surgery” procedure, meaning that the patient goes home the same day as the procedure was performed.

The surgery consists of placing a 5 mm( 1/2 cm) incision in the umbilical area with a second incision in the area of the pubic hair. The surgeon will make these cuts so that they cannot be seen after the procedure is completed. The umbilical incision will be hidden in the normal creases in the umbilicus (belly button). The lower cut is hidden by the pubic hair, which is shaven before the procedure. When the hair grows back, the incision will be imperceptible. The surgeon will use a laparoscope in order to see inside of the abdomen so that a precision cut can be made to the Fallopian tubes. This procedure takes about 20 minutes to perform.

The recovery time for this procedure is about 1 1/2 hours. The patient is then sent home with pain medication and returns in 5 days to have the sutures removed.

Recovery & Post-Operative Care

Following surgery, the patient will be monitored for about one to one and a half hours.  There will be no bandages to change or tubes in the bladder.  Pain medication will be given in the recovery room if needed. However, this is not typically necessary immediately after surgery as the surgeon will the patient pain medication prior to them waking up from Anesthesia.

At discharge, non-narcotic oral pain medication is given to the patient.  Patients typically have no problems urinating after the procedure.  If the patient begins their menstrual cycle, tampons should be avoided until approximately 3-4 weeks after surgery.

We recommend daily showering. However, taking baths should be avoided for about two weeks.  Full sexual function may be resumed approximately 3-4 weeks after the surgery

Our Tubal Ligation Specialist

Plastic Surgeon Dr. Harvey S. Richmond



Dr.Richmond has an extensive educational and practice background. After completing his undergraduate training, he went to Pharmacy school, which prepared him for his goal, which was to complete Medical School with knowledge of Pharmaceutical treatment of disease. He completed an OB-GYN Residency at the University of Minnesota and soon afterward moved to Los Angeles, where he joined the staff of Cedars Sinai Medical Center.

Get Your Consultation Today

Give us a call today to schedule your consultation with one of our plastic surgeons at Wave Plastic Surgery.

Frequently Asked Questions About Tubal Ligation

Laparoscopic tubal ligation is a surgical procedure that involves blocking or sealing a woman’s fallopian tubes to prevent pregnancy. It is also known as “having your tubes tied.”

Laparoscopic tubal ligation is performed under general anesthesia. The surgeon makes a small incision near the navel and inserts a laparoscope (a thin, lighted tube with a camera) to view the pelvic organs. Then, two additional small incisions are made in the lower abdomen, and instruments are inserted through these incisions to cut, clamp, or seal the fallopian tubes.

 Laparoscopic tubal ligation is considered a highly effective form of birth control, with a failure rate of less than 1%. However, it is still possible to become pregnant after the procedure if the tubes are not completely sealed or if they re-join naturally over time.

While it is possible to reverse the procedure, it is not always successful. Reversal surgery is more complex than the original procedure, and the success rate depends on various factors, such as the age of the woman and the type of ligation performed.

Laparoscopic tubal ligation does not affect hormone levels or menstrual cycles. Women will continue to have normal menstrual cycles after the procedure.

No, laparoscopic tubal ligation does not affect a woman’s hormones or menstrual cycle.

Recovery time varies from woman to woman, but most women can return to their normal activities within a few days to a week after the procedure. It is recommended to avoid heavy lifting and strenuous exercise for a few weeks after the procedure to allow the incisions to heal properly.

Give us a call today to schedule your Tubal Ligation surgery consultation with one of our plastic surgeons located in Los Angeles, Orange County, and San Francisco.

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