Vasectomy Reversal is a surgical procedure aimed at restoring fertility in men who have previously undergone a vasectomy. This procedure involves reconnecting the severed ends of the vas deferens to allow sperm to enter the ejaculate again. There are two main types of vasectomy reversal surgeries: vasovasostomy, which involves reattaching the severed ends of the vas deferens directly, and vasoepididymostomy, a more complex procedure that connects the vas deferens to the epididymis when a blockage prevents a direct reattachment. The success of a vasectomy reversal depends on several factors, including the time elapsed since the vasectomy, the technique used, and the presence of other fertility issues. While vasectomy reversal can restore the presence of sperm in the semen in many cases, it does not guarantee the ability to conceive naturally.