The combination of a growing need for improved contraceptive technology, plus the new advances in endoscopic equipment, have resulted in widespread use of laparoscopic sterilization throughout the world. Recent developments have succeeded in making hysteroscopy a reliable technique and it too has been quickly evaluated for a new, simpler female sterilization method. This work is still in progress and no reliable clinical method is yet available. However, the use of a chemical, such as methyl cyanoacrylate, delivered by hysteroscope, or possibily by a blind method, does seem to be most promising as a new clinical technique shortly.