His Choice No Cut Vasectomy is one of the most minimally invasive forms of vasectomy. A His Choice vasectomy is a no needle, no scalpel minimally invasive open-ended vasectomy procedure. A His Choice vasectomy can be performed in a single office visit using local anesthesia in less than 15 minutes. Most patients report minimal pain during and after their vasectomy and can return to normal activities 48 hours after a His Choice Vasectomy. Men who choose to have this vasectomy can be confident they are choosing a highly effective form of permanent birth control with the lowest risk of failure. Dr Matthew Zerden is the Medical Director of His Choice Vasectomy of Durham and Chapel Hill. He specializes in offering vasectomy without barriers.