Aim and Objectives: To study the intraoperative and immediate complications of Laparoscopy and Mini- laparotomy techniques in interval tubal sterilization. Methods: A prospective comparative study with a 600-person sample size was conducted from January 2018 to June 2019 at the Department of Obstetrics and Gynecology, Andhra Medical College, Department in Visakhapatnam. Women who are having interval minilaparotomies and interval laparoscopic tubal sterilizations in a hospital. Results: In this study, out of 600 patients who underwent tubal sterilization, the majority of them were in the age group 20-25years. In both the groups in this study, parity of 2 or more were common i.e., 49.5% (Para 2) in laparoscopic group and 48 % (Para 3) in minilaparotomy group. HBsAg positivity was the most common co-morbidity, with 41 patients in mini- laparotomy group. Total of 25 (6.75%) patients had undergone surgery in the past in the laparoscopic study group. Adhesions (3.25%) were the most frequent incidental pelvic pathology found during laparoscopy. Fibroid was seen in1.75% cases of laparoscopic group. Mean duration of surgery was significantly less in the laparoscopic group as compared to the mini-laparotomy group, with 10.92+14.20 min, 19.62+8.90 min. respectively. Mesosalpinx bleed (3.0%) was the most common intraoperative complication in both laparoscopy and mini-laparotomy group. Among patients undergoing laparoscopic tubal sterilization the proportion of intra operative conversion to a laparotomy to complete the operation was 6 out of 300 patients included in the study (5%). Post-operative complications such as Fever (57.50%), Wound discharge (13%) and abdominal pain (28.50%) were more commonly seen in the mini-laparotomy group than the laparoscopy group. Conclusion: Finally concluded that, overall complications (i.e. when combined intraoperative and immediate post-operative complications) were more common in Minilaparotomy group when compared to laparoscopy group.