I am 23F single & no kids- during consultation she asked if I had considered other long-term birth control methods (IUD, implant, etc.) but ultimately she was 100% down to schedule the bi-salp as long as I didn’t have any doubt about my decision. My insurance didn’t cover a bi-salp, so she worked with me and removed most of the tubes and cauterized them so it could still be billed as a tubal ligation. No bingos, just wanted to make sure I was informed about options available. Told me to call her office if my insurance tried to give me any trouble. Great experience.