Just because we plan to stay in the obstetrics business doesn’t mean you have to. In addition to offering all the temporary methods of contraception from diaphragms, to pills and shots, to IUDs, we also offer both of the permanent sterilization techniques. Dr. Bruner is experienced in post partum tubal ligation, which is done in the hospital shortly after delivery or at the time of C-section. For those families who choose to share the responsibility for procreation (or lack or same), he also does vasectomies in the office and assures skeptics that the experience is much better than anticipated for the vast majority of men. Dr. Bruner says the ratio of the procedures chosen has changed over the years from about 5 to 1 in favor of tubal ligation to 5 to 1 in favor of shared responsibility.