I haven't had this done yet...i plan on it after baby is born, but i worked in an OB/GYN clinic that did this procedure and it is supposed to be more effective than having your tubes tied. I (thought) i had mine done after baby number 2 but am about to have #3 so that was a bust....anyways....they give you a 'cocktail' of I believe valium and vicodin to take before the procedure so that you are nice and goofy when they come in. They also use a local numbing agent to numb your cervix. then they insert the camera and the coil things and you are done. Then you go back 3 months later to have a dye injected into your uterus and an x-ray taken to make sure your tubes are blocked. You are in and out the same day. No cutting or anything like that. Good Luck!