Selective fallopian tube catheterization is an established technique in cas
es of tu bal infertility. It can be adapted easily to selective fallopian t
u be occlusion for sterilization. An essential question remains: what occlu
sion material, device, product, compound will ensure safe, easy, and cheap
tubal sterilization via a transvaginal-transuterine route? In these conditi
ons, selective tubal sterilization could be a challenge to surgical techniq
ues. We review the history and recent advances in selective tubal steriliza
tion.