This article describes 700 cases of female sterilization by tubal ligation with Yoons silicone ring; all cases were observed in family planning centers in Tunisia. Operative procedures and surgical equipment are carefully described. There were in this series only 2 cases of uterine perforation and 5 cases of extraperitoneal insufflation. Contraindications to this procedure are intestinal occlusion ombilical hernia obesity salpingitis and pelviperitonitis. The procedure is totally safe rapid (it takes about 20 minutes) and cheap; in Tunisia it is usually performed under general anesthesia and patients are given a complete gynecological examination prior to the procedure.