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Unlike vasectomy, tubal ligation on request is prohibited in Poland. The procedure is regulated by Article 156-1 of the Penal Code, which states that whoever causes grievous bodily harm, including permanent inability to conceive, is liable to imprisonment from 3 to 20 years. "In most Western European countries, the procedure of tying up the fallopian tubes is legal. More often than not, gynaecologists from abroad are surprised that in our country this is the law, that the possibility of performing this procedure is so limited and only allowed for medical reasons," says Rafał Zadykowicz, a specialist in obstetrics and gynaecology. He also has an extensive practice abroad. In an interview with Euronews, he explains that in other countries, the law is less restrictive in this regard. The limited access to the procedure has led to the development of so-called medical tourism, especially to neighbouring countries such as Germany, Czechia, and Slovakia, where clinics offer packages in Polish, including transport and accommodation. "As Polish patients know, they are educated, they no longer ask for it. They simply turn to the relevant institutions or go abroad," said Zadykowicz. -- https://www.euronews.com/health/2026/02/27/vasectomies-on-the-rise-in-poland-as-fertility-rate-hits-record-low