After local anesthesia is administered, the vas is identified and encircled with a special ring forceps. Then a special dissecting forceps is used to open and slightly spread the scrotal skin.
A second ring forceps is used to lift out a small segment of vas.
The wrapping around the vas (pampiniform plexus) is gently dissected away.
A small section of vas is cut and the ends cauterized then clipped.
The vas is placed back in the scrotum and the procedure is repeated for the other side using the same small opening.