Reversal surgery after vasectomy is an operation to reverse the vasectomy process. After a successful vasectomy reversal surgery, the semen of a man begins to contain sperm again, in which case the partner of the man can get pregnant. Vasectomy reversal is a more complex surgery than vasectomy. It can be attempted even if it has been a long time since one had a vasectomy. However, only half of vasectomy reversal surgeries are successful. Men may decide to have surgery to regain their fertility for reasons such as the loss of a child, remarriage or an improvement of the family’s financial status to an extent that is sufficient to raise a child. Few men may have vasectomy reversal surgery to treat pain in their testicles. Major complications are rare in vasectomy reversal operations, while risks include bleeding in the scrotum resulting in painful swelling and hematoma development, infection at the surgical site, inflammation, granulomas, damage to nerves and blood vessels, difficulty urinating, lumps in the scrotum, and bleeding that is not resolved between 10-minute bandages. To regain fertility through vasectomy reversal, the doctor will want to make sure that the patient can produce healthy sperm. For most men, having previously impregnated a woman is enough evidence. If the doctor is not sure if the patient can produce enough healthy sperm, they will ask the patient to have a testicular biopsy. Doctors usually perform vasectomy reversal operations in a surgical center or a hospital. It is a nuanced procedure that can be performed using several different surgical techniques. The patient must talk to his doctor about the procedure, its risks and potential complications, involve his partner/wife in the first interview with his doctor, stop taking aspirin and ibuprofen two weeks before and after the operation because these drugs increase the risk of bleeding development. Instead, acetaminophen can be used to relieve any pain. The doctor may ask the patient to clean and shave his scrotum before surgery and bring a clean suspensory garment (corset) to wear after the surgery. The operation usually takes 2 to 4 hours. The patient needs to have someone with him who will take him home after the surgery. Vasectomy reversal surgery is a technically challenging operation that requires specialized skills and qualifications. This surgery is more difficult than the vasectomy procedure. It is usually performed for outpatients and does not require staying in the hospital or the surgical center. Doctors can perform this surgery in one of two ways as vasovasostomy and vasoepididymostomy. Immediately after the surgery, the doctor closes the incisions with bandages, and the patient will wear the suspensory garment to apply pressure to keep the bandages in place, as well as reducing swelling and movement. For most men, the pain is not severe and disappears after a few days to a week. The suture is absorbed between seven and ten days. The patient must not take a bath or swim for the first two days after surgery, not work for at least three weeks and not carry heavy items. The patient must refrain from having sexual intercourse or ejaculating for four weeks. Sperm usually begins to appear in the semen after a few months, but in some processes, it takes about 15 months.