I am no expert, I can share what I know/ think. I know that its very difficult to reverse, so you need to be very sure. I don't think there are complications. There is a rare chance of ectopic pregnancy. I don't think that there any addition complications if you have had a c-section. I had a TL during my second c-section, and neither my midwives or OB mentioned complications. They just stressed how difficult it is to reverse.