ESSURE: The newest and least invasive procedure is called ESSURE . With this method, the physician uses a small camera to insert two micro-inserts in to the fallopian tube, where they then cause occlusion of the fallopian tubes and no longer allow a uterine pregnancy to form. In addition to the routine 2 week follow-up appointment with FPAMG, patients also are required to have a follow-up x-ray to confirm proper placement and occlusion of the fallopian tubes at 90 days. With the ESSURE method, there is no need for an incision through the abdominal wall and the healing time is greatly reduced. The procedure is covered by most insurance plans, including Medi-Cal, Family PACT (SOFP), and many independent health plans in Southern California. In many ways, the ESSURE procedure has revolutionized the way in which permanent female sterilization is accomplished.