Apart from the use of condoms, vasectomy is the only method of birth control that is the responsibility of the man. Vasectomy is more cost effective, less invasive and has a lower failure rate than sterilization in women. The general practitioner (GP) plays a very important role when a couple or an individual consults them about a vasectomy referral. Bearing in mind the poor pregnancy rate of vasectomy reversal and the potential cost, some men may want to have information about sperm storage. Cryo-storage would allow artificial insemination of their current partner or of a new partner. Vasectomy operative techniques described in this chapter include: open-ended vasectomy, fascial imposition, and Pro-Vas. The chapter explains that the man may experience a small amount of pain and discomfort during and after the procedure and that usually paracetamol is sufficient for pain relief.