Start With Why
Before you get into logistics, make sure you and your provider are aligned on the basics: why you're considering permanent sterilization, whether you've discussed reversible alternatives, and whether your provider has any concerns about your specific situation. This conversation sets the tone for everything else.
About the Procedure Itself
- Which technique do you recommend for me specifically, and why — tubal ligation or bilateral salpingectomy?
- Will this be done as a standalone procedure, or timed with a delivery?
- What type of anesthesia will be used?
- How many of these procedures have you personally performed?
- What is your personal complication rate, if you're comfortable sharing it?
About Risk
- Given my medical history, are there any risks specific to me?
- What is the realistic failure rate for the technique you're recommending?
- What would happen if the procedure needed to be converted from laparoscopic to open surgery?
About Recovery
- What does a typical recovery look like for your patients?
- When can I expect to return to work, exercise, and sexual activity?
- What symptoms should prompt me to call your office versus go to urgent care or the ER?
- Is a follow-up visit included, and when should it be scheduled?
About Cost
- What is the total estimated cost, itemized by surgeon, facility, and anesthesia?
- Are you and the facility both in-network with my insurance?
- Is there a self-pay discount if I'm not using insurance?
- What happens financially if there's a complication?
See our full cost-specific checklist for more detail on this section.
About Timing
- How far in advance do I need to schedule?
- If Medicaid is involved, when do I need to sign consent to meet the 30-day requirement?
- Is there a waiting period at this facility beyond what's federally required?
Bring This List With You
It's easy to forget half your questions once you're in the exam room. Bring this list on your phone or printed out, and don't hesitate to ask your provider to slow down or explain anything in plain language. It's a permanent decision — there's no such thing as too many questions.