There are two kinds of vasectomies that doctors perform: incision and no-scalpel. In the former, the doctor makes one or two small cuts in the upper part of the scrotum. In the latter, the doctor accesses the vas deferens through a small puncture.

In both procedures, the doctor ties, cauterizes, or blocks the tubes with surgical clips. Sometimes, a small portion of the tubes is removed. An incision requires stitches, whereas the hole heals on its own.