What is the pathophysiology of a cesarian section with bilateral tubal ligation?

Same: Same as a c-section without a tubal ligation. Healing is the same, hormone balance is the same, dependent more on whether you breast feed, take hormonal birth control, & how soon you resume ovulation. Patho-phys is therefore no different & different for each patient because of pain thresholds, healing parameters, use of medications, rest, & the amount of support. I hope that helps.