Vasectomy Reversal & VasectomyMicrosurgery in Mérida, in English.
Dr. Guillermo Cueto Vega performs microsurgical vasectomy reversal (vasovasostomy) and no-scalpel vasectomy at Star Médica Mérida — at a significantly lower cost than in the US or Canada.

Plans change: a new partner, a loss, or simply a different decision. Vasectomy reversal reconnects the vas deferens with microsurgery so sperm can travel again.
Results depend on the years since the vasectomy and individual factors, so every case is evaluated honestly before you travel. Reconnecting the ducts and achieving a pregnancy are two different goals — the second also depends on your partner.
If you are considering a vasectomy instead, the no-scalpel technique is quick and outpatient.
When to reach out
You had a vasectomy and want children again Reversal at home is out of your budget or not covered by insurance You want a no-scalpel vasectomy as permanent contraception Your partner cannot use hormonal contraception
Treatment options
Vasectomy reversal (vasovasostomy)
Microsurgical reconnection of the vas deferens. The outcome depends on the time since the vasectomy and individual factors; it is assessed case by case and is never presented as a guarantee.
No-scalpel vasectomy
A tiny puncture in the scrotal skin with fine instruments, no blade cuts. Less bleeding and pain, no stitches, and a faster recovery than the conventional technique.
Conventional vasectomy
A small incision to reach and seal the vas deferens, reserved for cases where the no-scalpel technique is not optimal. Contraceptive effectiveness is equivalent.
Post-vasectomy semen analysis
Done about 3 months after the procedure to confirm there are no sperm. Until then, the vasectomy is not considered effective.
The right option depends on your case. Dr. Cueto recommends a treatment only after reviewing your history and studies.
Cost and planning your trip
Treatment takes place at Star Médica Mérida, a private high-specialty hospital certified by Mexico’s General Health Council (Consejo de Salubridad General) — at a significantly lower cost than in the US or Canada. Because every case is different, we do not publish a single price: you receive an itemized written quote before you book anything.
Your personalized plan includes:
Surgeon and team fees Hospital: operating room and stay Anesthesia and supplies Pre-operative evaluation and indicated studies Follow-up visits Recommended length of stay in Mérida
How long to stay? It depends on the procedure and on your case, so it is defined individually and included in your plan — you will know before you buy your flights.
Recovery and follow-up from home
After a no-scalpel vasectomy, most patients return to desk work in 2 to 3 days. Reversal is a longer, more delicate microsurgery, with relative rest and no strenuous activity for several weeks; success is then checked with semen analyses over the following months, which you can do at home. Your stay in Mérida is planned with you before travel.
Frequently asked questions
How many years after a vasectomy can it be reversed?
There is no fixed limit, and reversals have succeeded many years later. The chances do decrease with time, which is why the years since your vasectomy are one of the first things we evaluate.
Does reversal guarantee a pregnancy?
No. Getting sperm back in the semen and achieving a pregnancy are different goals; the second also depends on your partner’s age and fertility.
Can I do the follow-up semen tests at home?
Yes. Semen analyses can be done in a lab near you and sent to Dr. Cueto, who reviews them with you remotely.
Does a vasectomy affect testosterone or erections?
No. It only blocks the passage of sperm; it does not affect the nerves of erection, testosterone or libido.
Send your case — get your personalized plan
Tell us about your case and share your studies if you have them. You will receive a personalized plan with the recommended treatment, how long to stay in Mérida, and an itemized written quote — before you book anything.
You will talk directly with Dr. Cueto, in English.