One hundred and thirty-eight Pomeroy tubal ligations were performed during the early puerperium under local infiltration anesthesia. Optimal intravenous premedication was achieved with 20 mg of Nisentil and a total dose of Valium based on 0.3 mg/kg of body weight. Delays caused by operative scheduling were avoided by performing the sterilizations in the delivery room. The technic was well accepted by patients and is now employed routinely.