Context: From19601970’s Indian populations became more aware of laparoscopic tubal ligation, It is female sterilization permanent surgical method of contraception. Aims: To evaluate the cases registered for tubal ligation by single puncture method with respect to their age, parity, intraoperative and postoperative complication of the single puncture laparoscopic tubal ligation in tertiary health care centre. Method: A retrospective study of the laparoscopic tubal ligation done at rural medical college during January 2013december 2017 interval. Total number of caseswere 4294. Laproscopic tubal ligation done under IV sedation and local anesthesia. Procedure carried out in interval laparoscopic tubal ligation, puerperal laparoscopic tubal ligation and after 1st trimester MTP. Results: Most of the patient were in age group of 2130 yrs (73.3%). Most of the patient were having two children, previous 2 LSCS were 1045 (55.3%), previous 3 LSCS were 356 (39.6%). 752 (17.51%) patients had tubal avulsions, 20 (0.46%) patients had uterine perforation, only 2 patients required laparotomy and one patient had superficial inferior vena ceva puncture. Conclusions: Single puncture laparoscopic tubal ligation was found to be easy to performwith no or minimal complication rate.

Keywords: Single Puncture Laparoscopic Tubal Ligation; Previous Caesarean Section; Retrospective Study.