In a conventional Vasectomy the physician makes cuts or incisions in the skin of the scrotum and lifts the vas deferens out of the scrotum, cutting and blocking the tubes to stop the sperm from reaching the semen, the scrotum is then stitched closed. A No-Scalpel Vasectomy differs as the physician feels for the vas deferens under the skin and uses a special clamp to hold it in place. Instead of making incisions the physician uses a special instrument to make a tiny puncture in the skin of the scrotum. He then uses that same instrument to gently stretch the opening and bring the previously clamped vas deferens to the surface where it is blocked using the same methods as a conventional vasectomy. There is very little bleeding with the No-Scalpel technique. The punctures are sutured together with two stitches. The punctures heal quickly and usually without scarring.