S.B.
Check out essure.com . Essure is a new non-invasive procedure that replaces the old way of doing tubal ligation. It's done vaginally, so there's no incision, and takes about 45 minutes. I haven't had it done (b/c I don't have ANY kids and the doctors are reluctant to do it if you have no kids), but I've seriously read up on it and recommended it to my students.