Upstate urologist JC Trussell, MD, discusses what to expect if you are considering the male sterilization procedure called vasectomy. He explains what happens in the first medical appointment, how the procedure is done and what recovery is like. Trussell also tells about options for a man who had a vasectomy and later decides he wants to have children. One option is an in vitro fertilization technique in which sperm are removed surgically. Another is a complex operation, in which Trussell specializes, called a vasectomy reversal.