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Seema Gupta (aged 34, far left) and Ramesh Chandra Gupta (38) pose for a family portrait in their shophouse in Ghaziabad, Uttar Pradesh, India. Seema Gupta had a tubectomy done on 9 June 2011 for family planning while her husband, Ramesh Chandra Gupta, wasn't aware of the option and benefits of non-scalpel vasectomy (NSV). They run a roadside sweets shop at the front of their house and chose to have a family planning surgery done as they did not want to compromise the quality of life for their two children. While Ramesh wanted only 1 child, both his mother and Seema pushed for a 2nd child. Photo by Suzanne Lee / Panos London