I'm surprised to see all the posts with complications, minor and not so minor. I was fortunate to have a trouble free procedure with minimal pain and absolutely no long term effects at all. The only thing I had to do was go back 4 times before my sperm count went to zero. Apparently I had a lot of the boys hiding out hoping to survive! The Doc could not believe it. Anywho it finally stopped and away I went. I would definately recommend it. The ladies have to go through enough grief in this department. I figured it was the least I could do and I already had enough kids for one lifetime