Thanks everyone. I have thought about it, and will consider it, and ask as much info as possible. I have never had an complications during VB, no tearing or anything, so I am pretty sure my fifth birth would be the same. However, I was just thinking of getting 2 things done at once, knowing when bub is coming (as I have 4 kids to think about when I go into labour and hospital stay) and also long term contraceptive. My sister has had 4 out of 5 c sections and has recovered well, but that doesn't mean it will be the same for me. I was just looking at options, and I know its major surgery, and there are risks as well, but its just a thought so far, and am looking at all options.

The key hole surgery does sound better, in recovery, but was thinking of getting it done at the same time. Thanks for advice ladies