The cost of vasectomy is related to the choice of procedure. A regular vasectomy with end-to-end anastomosis costs around$6,000. The microscopic vasectomy procedure, on the other hand, is more expensive and may cost anywhere from$10,000 to$20,000 dollars. The main purpose of microscopic surgery is to make the anastomosis smoother and less likely to lead to narrowing of the anastomosis, resulting in a higher success rate of evacuation, and this type of surgery is only carried out in many large hospitals. Many people use microscopic surgery again because they have had poor results through ordinary surgical methods. This surgical method avoids the risk of re-stenosis and also allows for vasovaso-epididympanic anastomosis surgery, which will have a higher success rate.