Is there a simple way to do that?
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Perhaps just export to shapefile or kml and then reimport to SQL Server using one of these standard tools. For example:
SELECT ST_AsKML(the_geom) FROM the_spatial_table WHERE ....This outputs kml, which you can then reimport to SQL Server (I assume, not SQL server guy, but it is a common format.) Here: http://www.postgis.org/documentation/manual-1.4/ch07.html#Geometry_Outputs are the other geometry output formats for Postgis.