The vasectomy is the fourth most common form of birth control after condoms, oral pills, and tubal ligation (“getting the tubes tied”). It is a low-risk surgery that can be done in an everyday doctor’s office under local anesthesia (medicine that numbs the area), and patients can go home right after. A surgeon or family medicine physician will make one or two small cuts or a puncture in the scrotum. They then cut and seal the vas deferens, the tubes that carry sperm. The entire procedure takes around 20 minutes.