PIP: In a 7 year study, 322 women between 31-45 years old who submitted for laparoscopic tubal sterilization were questioned on specific gynecological complaints. 4 techniques including coagulation with tubal resection, double coagulation without resection, silastic rings, and spring-loaded clips were the surgical procedures used. After accounting for combination-pill use and abdominal complaints previous to sterilization, 7.1% of the women complained of menorrhagia, 6.2% complained of dysmenorrhea, and 8.7% complained of vague abdominal pain. The incidence of menorrhagia and dysmenorrhea occurred equally for each sterilization technique. Postoperative complaints may be due to hyperplasia of stroma with endometrial biopsies indicative of a persisting proliferation phase.