I didn't have this done myself, but I did look into it with my doctor. It seems a lot easier than having your tubes tied, I guess. Some doctors' offices do this without anesthesia (but my doctor said she recommended some anesthesia as it could be "quite uncomfortable." I assume this means they've had to peel people off the ceiling after they've had this procedure...) She also said that there will probably be side effects while you are healing (like pain, bleeding, severe cramping, nausea, fainting). I gave it some thought and then I decided... I was pregnant twice, had natural delivery twice, breastfed, still have to work full-time... isn't it time for my HUSBAND to do something invasive, embarrassing and painful? So he went and got a vasectomy! (He wasn't happy about it, but then I threatened just to go off birth control and have a whole bunch of kids like that 18 kids and counting family, and he saw the light pretty quickly.) I would recommend making someone else have the invasive procedure whenever possible. =) Good luck!