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Vaginal tubal ligation is one of the most simple, practical and effective methods of permanent conception control for women who want to conclude their childbearing during not only a nonpregnant period but also an early trimester of pregnancy. The authors performed 72 tubal sterilizations during the period from September 1970 to December 1971, while in one case of those her medical record was lost. There were 8 abdominal tubal ligations performed on non-pregnants, 73 on women in the immediate postpartum period, and 27 vaginal hysterectomies with various surgical indications, during the same 16-month review period. Reviewing morbidities and complications of the 71 vaginal tubal ligations, the vaginal approach was associated with very little risk, and was better accepted by most patients dut to absence of the visible surgical scar and easier attitude toward the surgery than was the abdominal approach. Furthermore, the vaginal could be conveniently combined with the other vaginal surgeries such as interruption of early pregnancy, perineal repair, and so forth. It also seemed to be in any means economic benefit due to performance at once within shorter surgical duration of various combinations of several vaginal surgeries and shortened hospital stay. The vaginal, moreover, was found to be superior to the adbominal in the viewpoint of unwanted postoperative secondary psychologic gain. Comparison of vaginal tubal ligation vs. vaginal hysterectomy performed for permanent conception control was beyond the socpe of this review.
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