If the patient has no reproductive needs, sterilization is effective. If the patient has pregnancy needs, IUD is better. The choice of IUD or ligation surgery depends on the patient’s reproductive needs. IUD is a medium- to long-term, reversible method that can be removed when the patient wants to get pregnant, but it is important to note that this method may result in vaginal bleeding, contraceptive failure due to IUD dislodgement, and ectopic pregnancy with IUD. Tubal ligation is a permanent method of contraception, with less impact on the organism and fewer complications, so patients can choose to undergo tubal ligation if they have no reproductive needs. Both methods have their own advantages and disadvantages, can not absolutely say which method is better, it is recommended that the patient under the guidance of the doctor according to individual needs for regular treatment.