Surgical sterilization, also called tubal ligation or getting your tubes tied, is a surgical procedure where a doctor puts a clip, band, or ring on the fallopian tubes, or removes a section of the tubes. (In other words, it doesn’t usually involve tying!) This type of procedure prevents eggs from being fertilized after they are released from the ovaries. Surgical sterilization is permanent and effective immediately.
Essure is a non-surgical form of sterilization. A health care provider uses a special inserter to put a small metal coil into the vagina, through the cervix, and into the fallopian tube. Since these tiny wires are inserted through the vagina and cervix, no incision is needed. Scar tissue grows around the wire and blocks off the fallopian tube, preventing any eggs from being fertilized after they are released from the ovaries.