Female sterilization involves surgically blocking or sealing the fallopian tubes to prevent pregnancy. It is a simple outpatient procedure typically done with local anesthesia. After the small incision is made, the tubes are blocked or cut and the opening is closed with stitches. The woman stays awake during the procedure and can go home after a few hours of rest. While very effective, sterilization is permanent and not reversible, so the document emphasizes discussing it carefully with the client and making sure they understand the implications before deciding. Potential risks are discussed but are generally very low with serious complications being rare.