Hey folks! I often get asked the question, is scalpel free technique better than other traditional vasectomy techniques.  For those men out there contemplating the ol’ snip-snip for permanent birth control, we have some intriguing news for you. Do you know you can now go scalpel-free? Yep, we’re living in a world where even vasectomies have an upgrade.

So, what’s the scoop?

Historically, vasectomy meant a surgeon wielding a scalpel to make incisions on the scrotum. But thanks to an innovative technique of scalpel free (no scalpel) vasectomy technique, men can now have a vasectomy without the scalpel. Instead of slicing, a fine access is made with a needle tip of the hyfrecator (fancy name for our machine) and the whole job is done through that tiny hole. It’s like upgrading from an old flip phone to the latest smartphone.

Why the change?

The idea behind the no-scalpel or scalpel free technique is pretty straightforward. It aims to reduce the not-so-fun parts of the procedure like bleeding, bruising, infections, and pain. Plus, the operation is quicker! Who doesn’t love efficiency?

Evidence, please!

“Cook LA, Pun A, Gallo MF, Lopez LM, Van Vliet HAAM. Scalpel versus no‐scalpel incision for vasectomy. Cochrane Database of Systematic Reviews 2014, Issue 3. Art. No.: CD004112. DOI: 10.1002/14651858.CD004112.pub4. Accessed 15 October 2023.”

A well respected and  authoritative organisation called Cochrane published a review in 2014 dove into the scalpel vs. no-scalpel debate. Their main findings:

– The no-scalpel technique led to less bleeding, pain during surgery, post-op scrotal pain, and infection.

– There were fewer cases of hematoma (that’s internal bleeding if you’re not up on your medical jargon) with the no-scalpel method.

– Operations using the no-scalpel method were generally faster. So, you get to bounce back to your routine (and ahem, bedroom activities) sooner.

One of the studies included in this review even highlighted that those opting for the no-scalpel technique returned to their, let’s say, “romantic endeavours” quicker than those who went the traditional route. Wink wink.

But is it as effective?

Both the traditional and no-scalpel methods effectively prevent future mini-you from making an unexpected appearance. Both studies agreed that there’s no significant difference in contraceptive effectiveness between the two techniques.

Conclusion: To Scalpel or Not to Scalpel?

The evidence leans heavily towards the no-scalpel technique being the better option. Less bleeding, pain, and a faster recovery time? It’s a no-brainer.

For those still on the fence, think of it like this: Would you rather have a surgeon playing Fruit Ninja with a scalpel near your jewels or opt for a quick puncture and be done with it? The choice is yours, but we know which one we’d pick.

That said, always consult with a professional before making decisions about any medical procedure. And as always, remember to keep the “family” in family planning. Happy snipping (or should we say, puncturing?)! 😉

P.S.: The content shared here is for general understanding and shouldn’t override the recommendations of a medical expert. Dr. Raj Selvarajan, with his expertise in the no-scalpel  or scalpel free vasectomy technique since 2007, boasts an impressive track record of over 10,000 procedures in his 16-year-long journey. He extends his proficient services across various clinics in Queensland, offering on-the-spot consultations and procedures for those keen on this advanced method.

dr raj selvarajan


Scalpel Free Vasectomist,

Senior Lecturer (UQ)

Course Organiser – Advanced Workshop in No Scalpel Vasectomy (HealthCert)