Do I need to be crass abut this????
No!! Have the surgery if you are 100% sure you don't want no mo' babies.
My input on the experience - the EX had it done in 1996 after Thing2 was born. (reason is: I opted OUT of getting my tubes tied, because Thing2 arrived so quickly (1am) that there was NO TIME for me to receive the epidural) ANYHOO the EX had his surgery and as I recall was in a fair amount of pain for at least a couple of days and was off work, too. He got pain meds, as well. I, on the other hand, had NO MEDS for either of my childbirths and felt like he was a big weenie (hah) for needing to be catered to for 2 days because of it.
I guess they've improved on the operation if there is no pain now.