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A tubal ligation is a surgical procedure done in women to permanently prevent conception and pregnancy. It can be done in various ways but the term literally means tying or binding of the tubes (Fallopian tubes). This is why you hear it referred to as having your "tubes tied".
Tubal ligation or tubectomy a.k.a. having one's "tubes tied" is a surgical procedure for sterilization in which a woman's fallopian tubes are clamped and blocked, or severed and sealed, either method of which prevents eggs from reaching the uterus for fertilization. Tubal ligation is considered a permanent method of sterilization or Birth Control.

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