Couples who desire conception after the male partner has had a vasectomy have options. A commonly selected one is vasectomy reversal. The other option is sperm retrieval to be used with IVF. Dr. Kavoussi was invited as a guest lecturer by the division of reproductive endocrinology and infertility at Baylor College of Medicine in Houston. His lecture focused on all aspects of male fertility but a bulk of the discussion was regarding options for fertility after vasectomy. These are couples that male and female fertility specialists should assess together to help guide the couple on the optimal option for them. In cases of vasectomy reversal, it is important to know that the female partner has patent fallopian tubes and reasonable ovarian reserve, for that couples’ odds of success. Otherwise, sperm retrieval and IVF may be a more appropriate option for some couples.