Mini-laparotomy holds promise as a simple, quick and lowcost method of female sterilization which may be especially useful in developing countries. Since the procedure is new more research is needed to determine its overall efficacy. The complication rate is low. In Thailand.2, 800 women have been sterlized by Vitoon`s procedure, the averagtion rate is 0.8 percent; 6-5 percent of Pramotes patients experienced difficulties but they occurred early in the series. No complications were reported in 30 procedures at Johns Hopkins Hospital.