This document discusses various methods of family planning, focusing on vasectomy and tubal ligation. It defines vasectomy as a simple operation to cut or block the vas deferens tubes, making a man sterile. It can be done under local anesthesia without hospitalization. Tubal ligation involves closing off the fallopian tubes surgically to prevent pregnancy, either through mini-incisions or laparoscopy. Both are considered permanent forms of birth control. Risks include infection, hemorrhaging, and complications from anesthesia.