I was pregnant 10 times and have two sons. One miscarriage and then my 1st son, and then all miscarriages until my 2nd son. Needless to say, when my 2nd son was safely on his way, I made plans to end this nightmare. Since son 1 had been an emergency c-section, I planned for son 2 to be a c-section as well. I knew the best thing for my mental and physical health moving forward was to end the cycle of pregnancy madness, so I scheduled the tubal ligation to be done while I was on the table after the c-section. I highly recommend this IF you already are having an operation. Here's the way I see it...you already have to recover from your main surgery, why not add this in which in no way increases discomfort or recovery time? Don't have another surgery a day or two or week after having a baby. I hear about this and think, "HECK NO!! I've got enough physical and mental challenges right now. I'm not adding ANOTHER surgery on my plate with a new baby if I don't have to." Best decision I ever made. HOWEVER, if I didn't have to have surgery with my c-section already, I would not take this route. I'm a firm believer in men being snipped, a quick, simple, in-office & non-evasive procedure. Also, please remember that c-sections are ONLY 99% effective like the pill (I had endometrial ablation additionally to be safe). Lastly, just make sure you want to sterilize yourself before doing so. For me it was 100% the right choice, but I like that you have to decide well in advance and sign the papers before you become emotionally involved in the moment. Discuss this with your family and feel right in your heart before you sign. Good Luck!