Most fellowship trained microsurgeons use a specific and highly specialized technique in performing vasectomy reversals. Use of this technique is an important way for patients to distinguish between trained microsurgeons and general urologists who "dabble" in performing reversals. Dr. Werthman performs a standard two-layer closure of the vas with nylon sutures that are half the thickness of a strand of hair. This technique is shown to be most precise and allows for the best results. Dr. Werthman is able to perform this surgery 30-50% faster than most trained microsurgeons because he has choreographed this operation perfectly so there is no wasted movements. Everything is exact and precise. Dr. Werthman also invented an anesthetic irrigation technique that allows patients to awaken and be completely pain free for many hours after the surgery.