Had a vasectomy but want to have children?
Your Vancouver Experts in Vasectomy Reversal
Get your vasectomy reversal done right here in Vancouver, Canada, with our up to a 97% world-class success rate.
- Over 97% success rate
- Get your consultation within 1 week
- Surgical procedure within 3 months
Are Vasectomies Reversible?
Yes, vasectomies are reversible. While success rates may vary from person to person, reversing a vasectomy is an established way to regain fertility and attempt to have a child naturally. With new microsurgical techniques, we are able to provide high rates of success from our offices in Vancouver, Canada, whether it has only been a few years or 10+ years since the original vasectomy.
Our Vasectomy Reversal Success Rates
We are committed to your success in growing your family at the time of surgery and beyond your surgical date.
In our experience, 24% of patients will require a more technically demanding type of connection to successfully reverse a vasectomy called a vasoepididymostomy (VE)
General urologists and other surgeons are not trained in this technique, while sub specialized surgeons such as Dr. Flannigan are specifically trained in this reconstruction. Dr. Flannigan’s results are aligned with the top centres around the world.
*As of Sep 2023. Includes all primary consecutive vasectomy reversals performed with one sperm test within 6 months of the surgery and at least 6 months of follow up testing. Includes all vasovasostomies, vasoepididymostomies, and mixed techniques.
All Vasectomy Reversals
- Any Sperm
- > 2 Million Moving Sperm
What are The Costs Associated with Vasectomy Reversals at Flannigan Fertility?
Initial consultation: $195
Vasectomy reversal surgery: $9995
Follow up: No charge for 3 post-operative follow ups.
($100 per follow up afterwards)
Financing available through Beautifi View Details
How Do Vasectomy Reversals Compare with IVF?
There are 3 fertility options for men wanting to father a child following a vasectomy.
- Vasectomy Reversal
- Vasectomy reversal + sperm retrieval
- Sperm retrieval + In Vitro Fertilization (IVF
The bottom line is that both options are potentially effective and come down to different pros and cons for most couples. If there is female fertility troubles, IVF may be a better option.
Vasectomy reversals offer the chance to have children naturally. In otherwise healthy couples, wanting one or more children, vasectomy reversals are typically the most cost effective option. Success rates are comparable but typically favour vasectomy reversals in most scenarios.
For couples where the female partner is aged 30-35, the pregnancy rate for vasectomy reversal in one study was 78.4%, while the pregnancy rate for a single cycle of IVF was 56.6% and the cumulative IVF pregnancy rate (1-4 cycles of IVF) was 69.4%
For couples with female age over 40, the vasectomy reversal pregnancy rate was 42%, while the single IVF cycle pregnancy rate was 19-27%, and cumulative IVF pregnancy rates (1-4 cycles of IVF) were 34%.
Overall, for most couples, vasectomy reversals are cost effective, and hold high chance of success in our hands.
Time Since Vasectomy?
Historically, many believed that vasectomies performed many years ago, >15 years for instance, were not amenable to microsurgical reconstruction. However, we now understand that a secondary blockage of the ‘epididymis’ may occur in cases with increased time since vasectomy.
A conventional vasectomy reversal (vasovasostomy; VV) will not work in this scenario; however, intra operative diagnosis by the surgeon, and a special reconstruction to the epididymal tubules (vasoepididymostomy; VE) can be successful, providing men with a high chance of sperm returning to their semen post-operatively. General urologists and other surgeons are not trained in this technique, which is why choosing a sub specialized male reproductive microsurgeon can make a significant difference for your success.
Obstructive interval (years)
- Bilateral VV
- Mixed VV + VE
- Bilateral VE
These are the types of connections that are required based upon the number of years since the vasectomy. As you will notice the chance of needing a VE on both sides or mixed VE and VV generally increases as the time since vasectomy lengthens.
Our outcomes irregardless of time since vasectomy reversal (1 to 26 years):
Surgical technique
- Any Sperm
- > 2 Million Moving Sperm
*As of Sep 2023. Includes all primary consecutive vasectomy reversals performed with one sperm test within 6 months of the surgery and at least 6 months of follow up testing. Includes all vasovasostomies, vasoepididymostomies, and mixed techniques. It is important to note that even achieving motile sperm levels above 2 million may not lead to a pregnancy. The chances of pregnancy will be lower than these numbers which reflect ‘technical success’ and an estimation of pregnancy rates involve many additional variables to consider.
Restore Your Fertility
In our hands, vasectomy reversal procedures are an effective way to restore fertility for men that have previously undergone a vasectomy.
Our results are our top priority, no compromises.
Dr. Flannigan spent an additional 2 years of training with the world’s best in New York, and uses the most effective microsurgical techniques published
We track our outcomes and know our results. Dr. Flannigan’s technique combined with his surgical experience translates to success rates of up to 97.7% for all vasectomy reversals regardless of the type of connection needed and are among the top in the world
Book Your Consultation Online
The first step in moving towards regaining your fertility is to reach out through our website contact section where you will contact Dr. Flannigan directly, and request a consultation. We know that timeliness is a priority, and aim to offer you an appointment within 1 week of reaching out.
Consultation Discovery
At the time of consultation, we will discuss your fertility options, review the procedure, answer your questions, and look to book your procedure if it’s the right fit for you and your partner.
Undergo the Procedure
Vasectomy reversals are a day surgery, where you come and go from the hospital the same day. They are typically performed under a general anesthetic where you go to sleep.
Post-operative Follow Ups
Patients will do their first sperm test 6-8 weeks after surgery, and discuss the results with our team and discuss strategies to optimize changes of pregnancy. Repeat testing is often performed to monitor your outcome.
About Dr. Ryan Flannigan
Dr. Ryan Flannigan is subspecialty trained in male reproductive microsurgery and continues to work toward refining his microsurgical skillset and surgical techniques to optimize success rates for Vasectomy Reversals and Microsurgical sperm retrievals.
Dr. Flannigan also serves as an internationally funded surgeon-scientist working to develop novel technologies to help improve treatments for male infertility, erectile dysfunction and Peyronie’s disease.
Dr. Flannigan completed his fellowship training in Male Reproduction, Microsurgery at the world-renowned Weill Cornell Medicine and Memorial Sloan Kettering Center in New York, NY.
Dr. Flannigan now serves as the director of Reproductive and Sexual Medicine Centre at the University of British Columbia, senior surgeon-scientist within the UBC Department of Urologic Sciences, and Fellowship Director for Male Reproduction, Sexual Medicine and Microsurgery Training Program.
Trusted Vasectomy Reversal Expert in Vancouver
With years of experience, we’ve helped patients in Vancouver restore their fertility through advanced vasectomy reversal procedures, supporting their dreams of starting or growing a family.
"Dr. Flannigan was great. Really helpful. He provided good information regarding fertility and men’s health."
J.H.
Ecommerce Director
"Dr. Flannigan is a super guy. Answered all my questions and told me my options in an understandable way. We will take a graduated approach to the problem."
D.P.
Retired
"Dr. Flannigan was very informative and gave us lots of hope and positivity."
J.P.
Sales
We’ve done hundreds of successful vasectomy reversals
Book a consultation today and restore your fertility!
Vasectomy Reversal Frequently Asked Questions
Have questions about vasectomy reversals? Find answers to common concerns about the procedure, recovery, success rates, and what to expect on your journey to restored fertility.
Vasectomy Reversals are surgical procedures that reestablishes a connection within the vas deferens to transport sperm between the testicle and the ejaculate. This involves one of two types of connections. Most commonly, a microsurgical reconnnection of the vas deferens tubes on either side of the vasectomy site is performed using a high-powered operating microscope. Sometimes a more specialized procedure is necessary when a second blockage site is present related to the vasectomy; here, the vas deferens tube is connected to a smaller epididymal tubule upstream to the second blockage using a high-powered operating microscope. This technique is called vasoepididymostomy or VE.
The chance of having greater than 2 million moving sperm is approximately 93% in our hands. Specifically, vasovasostomies have a 95% chance of having at least 2 million moving sperm postoperatively. Vasoepididymostomy success rates for achieving greater than 2 million moving sperm is 77% in our hands.
It is important to note that these numbers reflect the technical success of re-establishing sperm to the semen after surgery, not all scenarios will result in a pregnancy, and pregnancy counts are lower than technical success rates. (Please see above ‘What are the chances of getting pregnant after vasectomy reversal’).
Reference: This data is based upon Dr. Flannigan‘s publication ‘Techniques-Tension-relieving microdot vasovasostomies and longitudinal intussuscepted vasoepididymostomy vasectomy reversals’ CUAJ (2025) Vol 19, No.3. Note: inclusion criteria: Patients needed at least one semen analysis within six months of surgery and a minimum of six months of followup to be included in this study.
Dr. Flannigan uses the techniques that have been described with the highest published success rates. Specifically, he uses a modified multi-layer, microdot VV technique, using a high-powered microscope where he adds additional ‘hitch’ stitches to relieve tension on the connection. This involves use of 10-0 sized microsutures that are small than the hair on your head (70-100 microns in diameter) on the inner layer and 9-0 sized microsutures on the outer layers. For VE procedures, Dr. Flannigan uses the LIVE or Longitudinal Intussusception Vasoepididymostomy technique, using 10-0 and 9-0 microsutures and a high-powered operating microscope.
Dr. Flannigan will typically aim to arrange a consult within the 1 week and a surgical date within 4 to 6 weeks.
- Initial consultation: $195
- Vasectomy reversal surgery: $9995
- Follow up: No charge for 3 post-operative follow ups. ($100 per follow up afterwards.)
Book an Appointment
Flannigan Fertility offers Vasectomy Reversals & MicroTESE Sperm Retrievals with world class success rates for Canadians in Vancouver, British Columbia.