I also do physically demanding work--I work on organic farms. I'm also car-free, meaning I cycle everywhere. That's why I'd have to go home to my families. I couldn't go back to work until I was healed from the surgery. Ironically, my family would never support my decision to have tubal ligation.

I'm actually about to go home for a visit on Monday. Maybe I'll just get my papsmear there and discuss the ligation cost and process then.