I had elective c section with DS2 (but no tube tying!). Recovery for me was better than vaginal birth with DS1, although i only had one toddler to wranggle, and DH took 3 weeks off work to help so it wasnt too bad. Recovery times for me were: up and walking same day (procedure was at 1.30pm), shower next morning, home from hospital after 5 nights (although could have gone home earlier, but chose to stay to get some rest!!) could drive in about 1 1/2 weeks but DH was about so didnt need to (btw the insurance thing about having to wait 6 weeks is an urban myth) lifting toddler into highchair/car/cot etc in about 2 1/2 to 3 weeks. I am not sure how much more the tube tying would add to the recovery. Good luck with your decision. Xoxo.