For women requesting permanent sterilization we offer tubal ligation. Tubal ligation is performed under general anesthesia and takes less than 30 minutes to perform. The surgeon makes a small incision below the navel and inserts a laparoscope, which is a small telescope-like instrument, so that the fallopian tubes can be visualized. An instrument is used to burn the fallopian tubes creating a permanent blockage of the tubes. Most women stay home from work the next day and are asked to avoid heavy lifting and exercise for 2 weeks. While most physicians make multiple incisions or a single incision below the belly button, we make a single transumbilical incision. Because the incision is within the belly button, there is no visible scar after the procedure.