Tubal ligation (getting your "tubes tied") differs from the Essure procedure in several ways. Tubal ligation is a surgical procedure for female sterilization. The Essure procedure does not involve cutting, and provides women permanent birth control. The chart below compares the benefits and risks of tubal ligation and the Essure procedure.

How is the procedure performed?	A soft, flexible micro-insert is delivered through the vagina and uterus and placed into each fallopian tube. The spring-like micro-insert expands during placement to fit the tube.A small trailing portion of the micro-insert remains in the uterus. This viewable portion of the micro-insert serves to verify placement and does not irritate the lining of the uterus. Scar tissue grows into the micro-insert (usually over 3 months) and forms a barrier so the sperm cannot reach the egg.	Usually performed as a laparoscopic procedure, under general anesthesia. Gas is used to expand the abdomen so surgical tools can be inserted. The fallopian tubes are blocked by one of these methods: Clamping with metal clips or plastic rings Cutting away a section of the tube Burning a portion of the tube The clamps, rings, or clips remain in the body. Stitches or staples are used to close the cuts.
Effectiveness	99.95% at 1 year 99.80% at 4 years	99.45% at 1 year 98.82% at 4 years 98.15% at 10 years
Where performed?	In office	In hospital
Procedure Time	13 minutes*	30–45 minutes**
Recovery Time	1–2 days or sooner	4–6 days
Post-procedure pain/discomfort	Cramps Discharge	Cramps Discharge Pain at the wound Bloated abdomen and/or sharp pains in the neck or shoulder (due to gas used) Bruising around the wound Feeling tired and achy
Reliance and Test	Reliance can begin at 3 months when the Essure confirmation test confirms placement and blockage of the tubes.	Immediate/no test