For today's couples in a stable relationship who do not wish to have children the options of male or female surgical sterilization can be very appealing. These methods are relatively safe and effective, but there are many factors to consider in a tubal ligation vs vasectomy that involve cost, success rates and reversals. Once a couple examines all of these alternatives in the tubal ligation vs vasectomy argument than a proper decision can be made that is best for their particular situation and lifestyle choices.


A tubal ligation is a more complicated surgery that sometimes requires an inpatient stay. The fallopian tubes are cut and tied to prevent the egg from descending which prevents fertilization. A traditional vasectomy achieves the same result from the male side. The vas deferens are cut and clipped to prevent sperm from reaching the ejaculate. Both of these methods are relatively safe with fatalities per 100,000 case being just over 3 per tubal ligation and a firm 0 per vasectomy. The risk of surgery itself is very small.

Tubal ligationCost

The cost of either choice should definitely not sway a couple. This is a serious matter and the cost differences are not significant. A typical vasectomy can range from $750 to $1100. Sterilization for women will cost more, but at $1500 to $2500 is not much more of a burden. Insurance will cover most people in either case, too.

Fertility rates

One of the most important considerations in the tubal ligation vs vasectomy decision is the likelihood of future pregnancy after the procedure. A tubal ligation is generally 99% effective in the first year with a slight decrease in effectiveness in future years. A woman's fallopian tubes can naturally reconnect in rare cases and fertility is re-established unexpectedly. A vasectomy has an effective rate higher than 99% but the rate also declines slightly the longer a man has had one. Like a woman, a man's vas deferens can occasionally find a way to reconnect and allow sperm to escape. Neither method is absolutely effective, but far exceed methods like condoms, iuds, spermicides and they do not have the side effects associated with the birth control pill.

Future reversal

Both the tubal ligation vs vasectomy reversal methods can be attempted with relative ease and success. These reversals are more costly than the original surgeries as to be expected. A tubal reversal is significantly higher in cost than a reverse vasectomy. Insurance generally does not cover a reversal. The main reason for the tubal's increased cost is that this reversal involves entering the abdominal cavity. There are potential risks and no guarantee of future fertility and pregnancy success. Fortunately a man has alternatives to a reversal and some of these same alternatives apply to a woman, too. If a reversal is needed there are several great vasectomy reversal options, too. There are several considerations in a reverse vasectomy and it may not be possible or desireable upon further examination. Women have historically carried the burden of birth control in America. Today the modern man has just as much at stake and should share equally in the decision. The choice of a tubal ligation vs vasectomy is a serious one. A clear-headed evaluation of not only present circumstances but also potential future desires need full consideration.Do the health information research first.