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Patient-OBGYN (obstetrics and gynecology) communication about contraception and reproduction can be fraught with ideological pressures, cultural assumptions, and emotion-based claims and concerns. Specifically, the topic of elective sterilization for women often invokes preconceived notions of femininity and mothering. Based on medical pamphlets and online discussion forums, our analysis reveals how gendered discrepancies exist in medical information about elective sterilization. This persuasion brief aims to invite OBGYNs to understand how cultural and traditional views of gender inform medical decisions and oppress women’s reproductive autonomy. It offers suggestions for OBGYNs, women seeking sterilization, and scholars in the rhetoric of health and medicine.