Hi and thank you so much for this query. I am so sorry to hear about this fluid swelling in your limbs. If at all possible, it is a very uncommon side effect of tubal ligation to talk about fluid retention in the legs. Also, if the lymphatic system was compromised during surgery, it wouldn t take this long to become evident. However, a malfunction of the lymphatic system can clearly cause this problem. When I see a patient with swelling and fluid retention in legs, what i ust investigate are the kidneys, liver, heart and the leg itself. These are the most coon causes of bilateral edema of the legs. A malfunction of any of these organs can results in this. Malnutrition is a possible cause but I think this is highly impossible in your case unless there is some information you have not disclosed. Please, consult an internist and get a detailed questioning and a comprehensive physical examination alongside some laboratory investigations depending on the findings during consultation. they would provide a big help towards making the right diagnosis and treatment plan for you. For now, raising the legs will help drain the fluid and make them smaller. However, this can only be a temporal solution and not the treatment. When the cause is established, you would get a well adapted treatment. I hope this is helpful and guiding. I wish you well and please feel free to ask us more questions if need be. Thanks and wish you good health. Chobufo, MD