This document discusses permanent family planning methods, focusing on vasectomy for men and tubal ligation for women. It defines these methods, describes the surgical techniques, benefits, risks, and complications. Counseling is emphasized as critical due to the irreversible nature of these procedures. Minilaparotomy is presented as the preferred method for female sterilization. The summary highlights that permanent methods are less common in Ethiopia and counseling is essential to discuss potential risks, benefits, and possibility of later regret.