jvretiredvet

Really? Yes, really. But, you'd receive only one award of SMC-k for the loss of the uterus and the ovaries.

Won't the VA say, well, you weren't planning on conceiving anymore children, hence the tubal ligation, so SMC cannot be awarded? Please review the criteria for award of SMC-k at 38 CFR 3.350(a) . There is no mention of an earlier BTL . I am sure that the rationale you mention had been used in the past, but I am also sure that it was overturned by the DRO/BVA .

And, until the veteran becomes menopausal, one could always anticipate a tuboplasty, ie., reconnect the cut ends of the Fallopian tubes (or, remove the band).

Of other concern, beyond fecundity, is the hormonal function of the ovaries, ie., estrogen production. INMSHO, HRT really does not do a very good job compared to an ovary or two.

On another note, with that apparent killer instinct you've displayed, have you considered becoming a Rating Veteran Service Representative?

Addendum: When you get the SMC-k, if you don't believe you deserve it because of the prior BTL, ask your friendly neighborhood VARO to take that award away.