With conventional vasectomy surgery, two small cuts are made to the scrotum to reach the tubes and block them. With a No-Scalpel Vasectomy, the doctor feels for the tubes under the skin and holds them in place with a small clamp. Rather than making two small cuts, one tiny opening is made with a special instrument to reach the tubes to cauterise them. With this method, there is very little bleeding and no stitches are required to close the opening, which heals very quickly.