The entire procedure of female ligation is painless under anesthesia, after anesthesia there will be pain as the procedure requires an incision in the abdomen and pain may be experienced after the procedure. Female ligation surgery is a common procedure in obstetrics and gynecology. During the surgery, the abdomen needs to be sterilized, after which an incision is made in the lower abdomen in the position directly in front of the fallopian tube, through which the abdominal cavity is entered and the fallopian tubes are found, then the tubes are cut and tied up with threads, and after completing the ligation the incision site is stitched up. The procedure involves a wound, so it is definitely painful. Although general anesthesia laparoscopic tubal ligation is commonly used nowadays and requires anesthesia prior to the procedure, after the procedure, the anesthesia medication wears off and the wound site can be equally painful. In summary, if a woman experiences significant pain and discomfort, she needs to inform her doctor promptly.