this post was submitted on 13 Jan 2026
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It's not an opinion, that is the only responsible and ethical way to go about it.
Medical standards, such as those from the American Urological Association (AUA), explicitly state that a vasectomy should be counseled as a permanent procedure. Using its potential reversibility as an incentive to persuade a hesitant patient is generally considered a breach of the standard of care.
Also something that's rarely considered: while vasectomies are often covered by insurance, vasectomy reversal very rarely is, and can cost over $10,000 out of pocket, in the US at least.
'I can always reverse it' should not be influencing one's decision to get a vasectomy, nor would any ethical doctor say anything along those lines.
I’m not saying anyone should get a vasectomy assuming it will be reversed, nor that doctors should counsel it that way. It should absolutely be approached as permanent.
My point was narrow in that for people who are done having kids or strongly don’t want them, vasectomy is a responsible alternative to refusing condoms. There are -also- options like sperm banking or sometimes reversal, if you want to take that gamble. Acknowledging those options isn’t the same as recommending reliance on them.
We agree on the issue though: it shouldn’t be treated casually or as temporary. Beyond that, I don’t think there’s much left to argue.