Sterilization surgery, " cords tied ", " egg ducts tied " are known among the people. Tubal sterilization surgery with its name in medicine is now a surgical procedure applied to couples who do not want children definitively. In the medical literature, the process of sterilization of women's tubes by tying is called tubal sterilization, tubal ligation or tube ligation. How Tubal Ligation be performed in women?? Tying of cords in women (in a word tying of tubes to the uterus) can be with minilaparotomy or laporscopy methods. Sometimes during caesarean section surgery, tubes can be tied bilaterally (bilateral tubal ligation, tubal sterilization). I. Tying of cords (tubes) with minilaparotomy In the method called “minilaparotomy”, it ties the cords by reaching the cords with a horizontal incision of 3-5 cm from the groin. There are several different types of bindings. Minilaparotomy is not particularly suitable for over-70 kg overweight women, those who have previously undergone surgery, intra-western adhesions or endometriosus history. 2. Tying tubes with laparoscopy The other method in tubal sterilization is the process of tying the cords bilaterally by entering from the belly with “laparoscopy”. This method, also known as “bloodless surgery” among the public, has less postoperative pain and often does not require hospitalization. The disadvantage according to minilaparotomy is that the process is expensive. In both methods, the process of tying the tubes (Tube ligation) can be performed immediately after birth or during caesarean section. If won’t be done immediately after birth, it can be applied after 40 days of confinement period. Effectiveness in both methods is close to 100%. At a very small percent, the possibility of reopening tubes and pregnancy should be kept in mind. The operation technique is associated with the success rate. It is applied by making sure that there is no pregnancy following the expiration of the menstrual. It’s a small short operation. The patient is discharged on the same day and will call for a check-up after a month. What are the risks of tube ligation in women? Like all surgical intervention, tubal ligation operations carry some risks. Infection, neighbour organs’ injury and anesthesia risks should be taken into mind. If will be careful can bring down this possibility with the operation technique is used. For whome bilateral tubal ligation (tubal sterilization) is a suitable method of family planning? It is an appropriate method for tubes to bind in couples who do not have a child prompt and have completed family planning. It is usually a method of family planning that should be considered at an advanced age, especially after the age of 30 at the earliest. Because tubal ligation (sterilization) is an irreversible method. Reopening the tubes after tying (tubal reaastasis surgery) is difficult and requiring micro-surgery. Does tyig of tubes (tube ligation) in women make early menopause? One spot that is misknown among the public is that tying of tubes can affect the amount of menstruation, lead to early menopause, cause sexual reluctance or cause pain. When done with the appropriate technique, all of these concerns are unwarranted, as ovarian blood circulation will not be affected. Tying of tubes does not affect the amount of menstruation and sexual desire. Generally, it is the most suitable method for people who have reached at least 30 years of age, have reached the number of children and who do not think more, and those who are dangerous to give birth either medically or socially.