No dr should tell an adult woman over 18 that she cannot have her tubes tied unless shes over 21 or has 3 children. That is her choice. Some dont want children and if thwy had the ability to have these procedures they wouldnt need abortions. My daughter is 19 and has a extreamly medically complicated special needs child. She wants to focus soly on her. She doesn’t want anymore children but drs refuse to allow her to make that choice until she 21.