There's a certain level of legal paranoia involved in NOT tying a woman's tubes simply because there are too many dumb bitches who've had it done voluntarily, signed the waivers, agreed that's what they wanted, gone through screening - and then 5-10 years later, decided they just couldn't adopt to satisfy their mommy-itch, wanted a reversal, were perhaps told for some reason that was not possible, and proceeded to sue the doctor who did the tubal ... and won. So I can sort of sympathize with doctors to a degree - malpractice insurance is NOT cheap.

Otherwise, I agree. Perhaps there needs to be a downward age limit for a tubal for women with no children - no matter what any 16-year-old says, I'd be hesitant about performing that procedure until they had been an adult for at least a little while and still thought that way. But it's ridiculous that a woman in her mid- to late-20s - or older - can't ask for a tubal ligation, yet she can have as many children as she likes.