Female sterilization is the most widely accepted contraception in the world today. From a practical perspective, gynecologists are at constant drive to provide effective, safe, least discomfort/pain and economical contraception to the couple. With the advent of hysteroscopic surgery innovation in the form of better optics, endoscopes, camera, equipment, and insufflation machines revolutionized the surgery. This review will discuss the evolution of different hysteroscopic sterilization methods, including the past, present and upcoming devices. However, concerns remain about the absolute irreversibility of the method of sterilization. Researchers have failed to find solution to meet all the criteria. But this route obviates surgical incision and requires local anesthesia or intravenous sedation. The safety, tolerability and efficacy of hysteroscopically placed device are discussed in depth. This article will certainly help the clinicians to keep abreast of latest advances in contraception and practice in broader perspective despite the availability of limited literature.