I do anesthesia for a living, done it for hundreds of tubals I’m sure. I often think: WTF is wrong with the husband? Except when part of a C-section, tubals should be rare. Vasectomies are cheap, low-pain, extremely safe, and highly effective. Why are tubals also a burden that women must carry? An additional point: there has never been a documented death from a vasectomy. However, many women have died from anesthetic or surgical complications from a tubal ligation.