A tubal ligation is considered a permanent method of birth control. A mini-laparotomy (“mini-lap”) involves a smaller incision [usually less than 2 in. (5 cm) long] than a regular laparotomy. The incision may be made just at or above the pubic hairline. The fallopian tubes are pulled up into or out of the incision, tied off, and then put back into place.

This procedure is favored for women who have had prior abdominal or pelvic surgery or who have heart or respiratory diseases.

A mini-lap may not be appropriate for women who are very overweight or who have a history of disease affecting the fallopian tubes, such as endometriosis or pelvic inflammatory disease (PID).