Laparoscopy - the abdomen is filled with carbon dioxide gas so that the abdominal wall balloons away from the uterus and tubes. A small incision is made in the abdomen just below the navel and a laparoscope is inserted. Another small cut is made just above the pubic hairline to allow the entrance of the instrument that will cut, sew or burn the tubes. Using instruments that are inserted through these incisions, the fallopian tubes are burned or sealed shut with a small clip placed on the tube. The patient is able to return home a few hours after the procedure. Tubal ligation can be performed immediately after childbirth through a small incision near the navel or during a cesarean section.