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A. No. The FDA has approved two newer nonsurgical procedures. With Essure or Adiana, a gynecologist puts a tiny insert (either a coil or a piece of silicone) into your fallopian tubes that blocks sperm from reaching eggs for the rest of your life. "Unlike tubal ligation, either can be done in-office and without anesthesia, so the price (for those with insurance) is usually in the hundreds or less, not the thousands," says Cindy Basinski, M.D., a gynecologist in Newburgh, Indiana. "You can be in and out of your doctor's office in less than 10 minutes, compared with the hours you'd spend in the hospital. Patients often return to work the same day." Downside: You may cramp or spot for a few days.