The pain after a vasectomy reversal is typically only marginally more than the pain experienced with the original vasectomy. Even though small incisions are required, and the procedure takes longer, the work is all done with a high-powered microscope, tiny instruments, and tiny sutures. This results in only very mild pain afterward. Most patients only need pain medication for 1-2 days if any is needed at all. The majority of men undergoing reversal don’t take any pain medication at all. We prefer a post-operative regimen of non-narcotics that includes ice, rest, Tylenol, and anti-inflammatory medicines.