Yes, this is permanent!
This picture demonstrates a common method of tubal ligation. Women, who are unsure if they may want to have another child in the future, should not undergo a tubal ligation.
Alternative, reversible methods of contraception, are better choices for young women or women who may want to have more children. The only way to conceive if a woman has had a tubal ligation is by undergoing a tubal reversal (very expensive and not necessarily successful) or In Vitro Fertilization (IVF).