You're protected against pregnancy immediately after a tubal ligation. Most women who have a tubal ligation receive local anesthetic only. This means they're awake during the operation. The surgery takes less than an hour, and most women return to their normal activities in two to four days. Usually there's some soreness around the incisions for a few days.
Some women experience shoulder pain for a day or so.
As the body absorbs the gas, the shoulder pain goes away. Mini Laparotomy or Laparoscopy Sometimes during tubal ligation, a small incision is made in the lower abdomen. This allows the surgeon access to the fallopian tubes. This type of surgery is called a mini laparotomy. Another method called a laparoscopy is also commonly used.