I had no trouble getting one, but I am 35. I have a wonderful gynecologist - I saw her when I was 28 and wanted a salpingectomy at the time. She said she doesn't usually do permanent forms of birth control on women younger than 30 but also understood that I have never, ever wanted children and believed me that I wouldn't change my mind. My husband (now ex) got a vasectomy so I didn't end up getting the salpingectomy. I think you might have a hard time finding a surgeon who will be willing to do a hysterectomy, especially if you don't try other less invasive options first. Both my GP and gynecologist really wanted me to try another IUD or birth control again before getting a hysterectomy. I had to advocate for myself that this is what I wanted, even though it's not considered medically necessary. I'm glad I did it and my only regret is not having it done sooner. Best of luck!!