Dr. Rubino is now performing the “ESSURE” incisionless tubal sterilization procedure, in the office. Developed over the last decade, this procedure offers an alternative to conventional surgical tubal sterilization procedures. Conventional surgery requires and incision in the abdomen and general anesthesia, followed by a significant recuperation period. The “ESSURE” procedure is done without and incision. The physician uses a hysteroscope ( a small camera) that goes through the cervix and deploys small catheters in both fallopian tubes, essentially ‘tying’ them from the inside. The procedure lasts about 10-15 minutes, it is done in the office and patients go home in an hour. This procedure can be done under local anesthesia. There is little or no recuperation time.