Florida woman pays $6,000 for permanent birth control. Then she explains why no one could talk her out of it: ‘you know what to expect’
One TikToker's personal story ignited a heated debate about birth control

One Florida woman paid $6,000 for a permanent form of birth control. And, she’s certain that no one could possibly talk her out of the decision to remove her fallopian tubes. Theechainmaiden @theechainemaiden has a video on TikTok with 800,000 views detailing her experience. Her post urges viewers who are sure that they’re not going to want children in the future to have a conversation with a trusted healthcare provider about procedures like the one she had.
To begin, the TikToker argues, “We’re about to get a nationwide abortion ban very soon.” She also explains that she had the fallopian tube surgery in January 2026. Her video revisiting the subject underlines her argument that, if abortion was banned, “you know what to expect.” The American College of Obstetricians and Gynecologists confirms a removal of this scale results in permanent contraception and can reduce ovarian cancer risk in people that get this surgery.
It is worth noting that no nationwide abortion ban has taken effect yet. Federal abortion policy is basically divided between the individual states and their approach to bodily autonomy at this time. This poster’s home state of Florida has wrestled with the topic multiple times. Congress has seen multiple proposals for a nationwide ban put forward in the past couple of years. However, none of them have made it to President Donald Trump’s desk yet to sign. As a result, Theechainmaiden had to delete the first post and reshare the story with that specific qualifier.
Knowing what to expect before getting serious surgery in Florida
One important thing to know before attempting to have any medical procedure is how much it is going to cost. The poster talked about having $6,000 to even get her fallopian tubes removed. “I live in Florida. I have Florida Blue Cross Blue Shield,” she explains. “The total cost of my surgery was about $6,000.”
At that kind of lofty sum, Theechainmaiden acknowledged that her solution to the situation might not apply to everyone. The hospital the TikToker ended up choosing required a full payment before laying down on the operating table. But, she would not be deterred. It’s nearly impossible for her to get pregnant now, and Thechainmaiden went as far as to say it’s her best decision ever.
“I’m lucky to have a job that allows me a lot more financial independence than a lot of people in this country,” she admits. “I’ll leave it at that.” While we could not independently verify Theechainmaiden’s claims, they reflect her opinions on the current abortion access discussion, and her jokes about nuance shouldn’t be used as legitimate medical advice without consulting a doctor first.
A big discussion on Reddit’s r/childfree
While a lot of viewers might focus on that hefty price tag, a big component of Theechainmaiden’s video was actually finding a doctor. She explained how she searched a directory of physicians on Reddit. r/childfree is the community where the TikToker found answers. The volunteer-created database has physicians organized into location and states. Reddit users also report on the quality of care they received at these facilities. There are some common situations that users share including certain medical professionals arguing they are too young for the procedure or that they should have children first. But, the community notes that individual experiences vary a lot when pursuing this path.
Theechainmaiden found a male doctor to perform the fallopian tube removal. She described the experience, “I did not have any issues. I felt very seen, heard, validated, and listened to… So, shout out to that man.”
As she wrapped-up the video, the poster wanted to clarify that interested viewers who are “110% sure” that they don’t want kids should explore the resources from places like Reddit. (Methods of addressing or responding to a possible total abortion ban have been discussed on social media for multiple years now.) Then, once they decide, speak with a verified medical professional to pursue treatment if the procedure is right for them.
Have a tip we should know? [email protected]