The vast majority of men with paraplegia are unable to complete the process of natural conception due to paralysis of the trunk and limbs below the plane of spinal cord injury, but if the patient’s sperm is of good quality, he or she can conceive the next generation with the help of reproductive assistive technology. Paraplegia may cause loss of sensation, reflexes and sphincter function to varying degrees in the area below the paraplegic level, making it impossible to complete the ejaculation action, making it difficult to conceive naturally, but assisted reproductive technologies such as IVF and artificial insemination can be chosen to have children. Patients are advised to maintain a positive and good living condition, and their family members should actively provide psychological counseling to the patients, carry out rehabilitation training under the guidance of professional doctors and rehabilitators, and carry out relevant medical examinations to determine whether they have the ability to have children and the conditions for fertility, so as to choose the appropriate assisted reproduction technology to realize the desire of pregnancy and child birth.