The “scalpel-less” slogan is really created as a marketing gimmick. Surgeons who perform a “scalpel-less” vasectomy use scissors to puncture through the scrotum instead of a scalpel. Both result in an incision that is required to locate and severe the vas deferens. Both techniques are utilized by our facility, after examining the patient, we will elect the option that will result in the smallest incision.