A vasectomy is a surgical procedure performed on males as a form of permanent contraception. It involves cutting or sealing the vas deferens, which are the tubes that carry sperm from the testicles to the urethra. By interrupting this pathway, sperm are prevented from reaching the semen, thereby rendering the man sterile and unable to impregnate a female partner.

You have to schedule a consultation with a urologist or another qualified healthcare provider who specializes in vasectomy. During this consultation, the healthcare provider will review the patient's medical history, discuss the risks and benefits of the procedure, and ensure that the patient understands that vasectomy is considered permanent and irreversible.

 Vasectomy is usually performed as an outpatient procedure, meaning the patient can go home the same day. The procedure can be done under local anesthesia, which numbs the scrotum, or occasionally under general anesthesia, depending on the patient's preference and the surgeon's recommendation. There are two main techniques for performing a vasectomy:

either the Conventional vasectomy: In this approach, the surgeon makes one or two small incisions in the scrotum to access the vas deferens. The vas deferens are then cut, and a small section may be removed. The ends of the vas deferens are either tied, cauterized (sealed with heat), or closed with clips to prevent sperm from passing through.

or the  No-scalpel vasectomy:  This technique involves using a special instrument to puncture the skin of the scrotum instead of making incisions. The vas deferens are then lifted through the puncture hole, and the procedure is completed as described above. No-scalpel vasectomy is often associated with less bleeding, reduced risk of complications, and faster recovery compared to conventional vasectomy.

A follow-up appointment is typically scheduled a few weeks after the vasectomy to ensure that the procedure was successful and to discuss any concerns or questions the patient may have. It's important to note that vasectomy is not immediately effective in preventing pregnancy, as there may still be some remaining sperm in the reproductive system.  

Vasectomy is considered a highly effective and permanent form of contraception, with a low risk of complications and a high satisfaction rate among patients. However, it's important for individuals considering vasectomy to carefully weigh their decision, as it is intended to be irreversible.