The birth control pill is the most popular form of reversible birth control, containing synthetic hormones that prevent pregnancy by inhibiting ovulation, thickening cervical mucus, and thinning the uterine lining. Over 45 years since FDA approval, it remains over 99% effective when taken correctly. Common side effects include nausea, weight gain, and mood changes, but risks are low for modern low-dose pills and benefits include preventing cancer and improving bone density. While very effective, no method is perfect and women must choose based on their individual needs and risks.