Female sterilisation, widely used as a contraceptive technique in Fran
ce for many decades, is now a cause for concern among clinicians in re
lation to the personal legal risks involved in such procedures. Questi
ons concerning the position of insurers in relation to application of
civil hability insurance in the context of these procedures and their
possible complications reinforce this uncertainty Sterilisation, in th
e absence of any therapeutic objective, which is at the centre of the
current debate, can be considered to be a deliberate mutilation, perfo
rmed as an illegal procedure and the insurer, on principle, cannot ins
ure the consequences of such an intentionally concomitted act. As desc
ribed in this paper, the absence of legislation concerning this proced
ure and the limited legal debate on this subject fend to perpetuate th
e ambiguity between what is prohibited by law, but largely tolerated i
n reality