What does a vasectomy reversal cost in Canada?

What does a Vasectomy Reversal Cost

Accounting for these factors, the total cost for a vasectomy reversal for Canadian patients in our centre is $9,995.
 
While cost is an important factor for all of us, there are a few important factors to consider when choosing a surgeon to work with.
 
Let’s discuss this in more detail.

Important Features of a Vasectomy Reversal Expert

Clinical Training

Several options exist for couples pursuing fertility after vasectomy. When couples wish to use their own sperm and eggs to have biological children together, two main options exist:

1. Vasectomy Reversal and natural pregnancy
2. Sperm retrieval and IVF-ICSI (in vitro fertilization and intracytoplasmic sperm injection)

It is important to be able to have adequate conversations with your fertility specialist/vasectomy reversal surgeon regarding these options to ensure that you have the opportunity to consider all options available to you. This requires a Urologist who has gone on to obtain specialized training in male infertility. In some circumstances it may also benefit to speak with a female fertility doctor, i.e. reproductive endocrine and infertility gynecologist to gain additional information regarding the opportunities with sperm retrieval and IVF-ICSI.

Microsurgical Training

While many methods have been described to complete a vasectomy reversal, all contemporary approaches that report high levels of success use an operating microscope and sutures smaller than the hair on our heads.

Ability to perform Vasoepididymostomies

A strong microsurgery training set is important for successful operations as previously discussed. Not only is it important for completing the conventional vasectomy reversal connection, i.e. vasovasostomy (VV), it is essential to complete the most technically demanding male fertility microsurgery procedure where the vas deferens is sewn to the side of a small epididymal tubule, i.e vasoepididymostomy (VE).

Example of the technique that we use to connect the two ends of the vas deferens together, ie. Vasovasostomy (VV) using microdot sutures, precise stitch placement and a tension relieving approach. (Image from Alhamam A, Liblik K., Witherspoon L., Dorner A., Flannigan R. CUAJ 2025; Illustration by Dr. Kiera Liblik)

Example of the technique that we use to connect the vas deferens tube to the small epididymal tube, ie. Vasoepididymostomy (VE) using microdot sutures and tension tension-relieving sutures. (Image from Alhamam A, Liblik K., Witherspoon L., Dorner A., Flannigan R. CUAJ 2025; Illustration by Dr. Kiera Liblik)

What do the Canadian Urology Guidelines Say?

As described in the Canadian Urologic Association Guidelines for Azoospermia (severe infertility), it is essential that a surgeon offering vasectomy reversals, also have the ability to successfully offer a vasoepididymostomy. The reason that this is so important, is that in over 20% of all vasectomy reversals, the more difficult VE connection will be required, and if it is not performed, the connection on that side will not work due to additional blockage sites.

Is Financing Available For Vasectomy Reversals?

At our centre, we do not have the ability to offer financing. That being said, third parties do exist to offer financing for medical procedures. This may include companies such as Beautifi, or financial institutions such as your bank.  It is important to check the rates and terms to accessing a loan for vasectomy reversals.

What are other Financial Considerations in Planning a Vasecotmy reversal?

It is not uncommon for patients to travel to Vancouver or other locations for a vasectomy reversal. Planning your travel, and accommodation can add cost and is often best to speak with your surgeon about an ideal travel schedule. Typically, patients come to Vancouver the night prior to surgery if travelling by longer-distance. Staying close to the surgical centre for 24 to 48 hours after a surgical procedure can be helpful in case any issues arise that the surgical team could help address.

What are the costs of my alternatives to vasectomy reversal?

Other fertility options for couple wishing to pursue fertility in the setting of a previous vasectomy may consider:

1. Sperm retrieval and in vitro fertilization intracytoplasmic sperm injection (IVF-ICSI)
2. Donor sperm
3. Adoption

Sperm Retrieval Costs

IVF-ICSI costs can vary significantly depending upon extended health benefits, government coverage and the use of options features such as pre-genetic testing. Generally, the costs could vary from complete coverage to roughly $25,000 per cycle. Achieving successful pregnancy may require 1 or more cycles of IVF-ICSI, or more than one embryo transfer. It is best to connect with your local IVF centre for information surrounding the procedure as well as the estimated costs in your particular scenario. IVF Centres in the Vancouver area include:

1. Olive Fertility
2. Pacific Centre For Reproductive Medicine
3. Grace Fertility
4. Twigg Fertility

Concluding thoughts on Vasectomy Reversal Costs in Canada

Overall, several providers exist in Canada with appropriate male fertility and microsurgery training. Vasectomy reversal cost Canada ranges between $7,400 and $15,000 depending upon the site and surgeon. More costly does not necessarily suggest better outcomes, and similarly with less costly also does not suggest better outcomes.  Connect with a vasectomy reversal surgeon that is appropriately skilled, and is the best fit for you and your partner.