Purpose: A salpingectomy may reduce the probability of the future occurrence of ovarian cancer, and is now increasingly preferred to the tubal ligation as a method of tubal sterilization. This study aimed to determine whether a salpingectomy at cesarean section (CS) requires more time or involves more bleeding compared with tubal ligation. Materials and Methods: This was a historically controlled retrospective observational study. The clinical records of singleton pregnant women who underwent tubal sterilization at CS were examined. Tubal ligation was performed in 45 women in 2013-2014 and a salpingectomy was performed in 22 women in 2015. Results: No significant difference was observed between tubal ligation and salpingectomy groups in terms of median operating time (65.0 and 68.5 minutes for the ligation and the salpingectomy groups, respectively; p = 0.053) or volume of bleeding (847 and 916 ml for the ligation and the salpingectomy groups, respectively; p = 0.475). Conclusion: A bilateral salpingectomy at CS did not involve more time or bleeding than tubal ligation, and may therefore be an option for tubal sterilization during CS.