This study uses the 2006 Nepal Demographic Health Survey to evaluate the effect of the woman’s perception of her husband’s approval of family planning on her current use of modern contraception after controlling for various socio-economic and demographic factors. Study finds that husband’s approval is a major determinant of use of both modern reversible methods and female sterilization, although the number of male children alive has a more pronounced role in adoption of sterilization. Additionally, for those intending to be future users of any method, the husband’s opinion plays the most significant role. Linear splines depicting “age of the woman” finds that women in their peak fertile ages have declining odds of using sterilization. Following other countries in the region, more effective male awareness programmes as well as couple targeting is recommended to continue the success of the family planning programme in future.