There are two types of tubal ligations available to patients, both of which are permanent.
The first type is a laparoscopic tubal ligation, which is done in the operating room through small incisions in the abdomen. The tubes are then burned or banded at the time of surgery. This type of tubal is effective immediately, although it does require a few days of recovery time.
The second type is the Essure tubal which is done in the office by placing a camera into the uterus through the cervix. The hysteroscope then allows permanent coils to be placed into the fallopian tubes. Over the course of three months these coils cause the fallopian tubes to scar closed. This procedure does require a special dye test in three months and is not effective immediately. The Essure does not require incisions and most women are back to regular activity the next day.