Bleeding or hematoma formation in the scrotum is the biggest risk. Patients are encouraged to wear scrotal support and bed rest after the procedure for 48 hours to prevent any bleeding. To prevent the rare case of infection, patients are given a few days of antibiotics. For discomfort, patients will get a prescription for pain medications. Long-term risks include post vasectomy pain or granuloma which may require follow up medication or procedures. Patients follow up in the office three months post-operatively to ensure no sperm in two semen analysis.