Some surgeons perform vasectomy reversals under “local” anesthetic.  This is done to save money.  Personally, I believe that the patient ought to be asleep and under the care of a board certified anesthesiologist. That way, the patient is comfortable and safe and I can concentrate on the task at hand. I think that outcomes simply are better this way. 

The cost of vasectomy reversal will vary depending upon several factors: surgeon cost, facility fee, anesthesia fee, and any additional procedures such as sperm banking and lab fees. Our fees are in the $6500 total cost range. This fee includes my surgical fee, the facility fee, and the anesthesiologist fee. While less than some others, I feel the fee provides me with adequate compensation as the surgeon and is still reasonable for the patient.

 

The only other option for couples that wish to have a baby after vasectomy is in-vitro fertilization, or IVF. In order for the woman to undergo the IVF, the man must still have a procedure to extract sperm directly from the testicle and the woman must undergo multiple hormone medication injections and an egg retrieval procedure. The IVF process is both emotionally and physically taxing. In addition, it is very expensive; often in the $12,000 to $20,000 range, per attempt. Each attempt, in the best of conditions, in the best of centers, with best doctors and the best embryologists, has only a 30% chance of success, meaning an ongoing pregnancy. Therefore, should you choose IVF rather than a vasectomy reversal, be prepared to pay up to $50,000, or more.

 

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Vasectomy and Vas Reversal Specialist