I had my tubes tied after my third baby because I was in medical school and did not want anymore. A year later I decided that was a bad decision and found a great doctor named Doctor Perez in Rio Bravo, Mexico. I knew me and my husband could not afford a tubal ligation but I began talking to women who had went to Dr. Perez and loved him. I checked his credentials out and called and spoke with the hospital there. He only charge 2000.00 dollars which was way less than the 10,000.00 dollars they wanted here in the states. I went down and 18 months later gave birth to my three year old. So, there are alternatives if you are looking for them.