A vasectomy reversal is a surgical procedure performed to restore fertility in men who have previously undergone a vasectomy. The goal is to reconnect the vas deferens—the tubes that carry sperm from the testicles—so that sperm can once again be present in the semen. There are two main types of vasectomy reversal: vasovasostomy, which reconnects the ends of the vas deferens directly, and vasoepididymostomy, which connects the vas deferens to the epididymis when a blockage is present. The choice depends on individual anatomy and how much time has passed since the original vasectomy.

The procedure is typically performed under general anesthesia and can take 2 to 4 hours. Recovery is relatively quick, and patients can often return to normal activities within a few days. Success rates vary, but many men are able to father children naturally after the procedure. Vasectomy reversal offers hope to those seeking to start or expand their family.