I had mine tied at 35 and haven't had any issues. Every other birth control method caused major issues. Maybe I have been lucky. I would never ask a man to get a vasectomy. I've heard too many bad things about it. When I ovulate, I still feel the egg release as I always have (I know some women don't notice but I do with one of my ovaries - so every other month). I have seen pictures of my tubal (long story) and it is low down on my fallopian tubes. I figure the egg travels down, gets stuck, and is absorbed there rather than where it usually would in my uterus. It was painful but whatever. I've dealt with worse (I've had my uterus perferated). I was moving around normally within a few days and the pain was gone shortly after. I took one dose of the rx pain killers the same day as the surgery and alleve for a day or two after that. I felt rough mostly from the sedatives and the air they blow into you for the laproscopic procedure.