An unlikely pregnancy and its consequences

This commentary illustrates the case of a young married woman (who will be referred to as Debbie), who presented requesting a tubal ligation, but after a joint discussion with her husband (who will be referred to as Boyd), it was decided that he would have a vasectomy. Shortly after the operation, Debbie became pregnant. The importance of full discussion of medical procedures with patients and their families so that informed decisions can be made and a close working relationship established will be highlighted.