The cost of minimally invasive tubal ligation ($1,615 +/- $143) was significantly lower than the cost of the conventional technique ($2,820 +/- $110), (p<0.001). Total charges included physician fees were $4,112 (+/- $160) versus $2,737 (+/- $113), (p<0.01). Surgical times were similar, but total in-room and recovery time was longer for the OR technique.