It depends on if u want more children they usually will have tube tying as an option because u have 4 children assuming they are all yours i cant remember if they are or not if u do want permanent solution they will be willing to talk about it im 23 and they will not talk about it with me coz i only have 2 children and they say wat if u want more children even though im sure i dont want anymore

not sure wat u can say just know wat u want and make them listen