No Needle. No Scalpel. No Stitches.
A modern, minimally invasive approach to permanent birth control—performed by an experienced vasectomy specialist.
Fast. Focused. Professional care from start to finish.
WHY US?
5,000 +
Procedures Completed
100 %
Positive Feedback
15
Years of Experience
One Goal. Expert Vasectomy Care.
15 MINUTES
A typical procedure can be completed in approximately 15 minutes.
NO SCALPEL
A tiny opening is used instead of a traditional surgical incision.
NO STITCHES
The small opening is designed to heal naturally without stitches.
EXPERIENCED CARE
Steven V. Gard, MPAS, PA-C brings 10+ years of healthcare experience.
YOUR VASECTOMY SPECIALIST
Experienced. Focused. Here for You.
Steven V. Gard, MPAS, PA-C is a Physician Assistant specializing in no-needle, no-scalpel vasectomy.
Since earning his degree from Chatham University in 2012, Steven has worked across hospital medicine, emergency medicine, long-term care, and family practice.
He also holds specialized certification in no-needle, no-scalpel vasectomy training with Dr. Douglas E. Stein.
That combination of broad medical experience and focused vasectomy training allows Rocky Mountain Vasectomy to provide a streamlined experience centered around your comfort, safety, and care.
Ready to Take the Next Step?
If you’ve decided that vasectomy is right for you, we’re here to make the process straightforward.
Book your appointment with Rocky Mountain Vasectomy today.
NO NEEDLE.
NO SCALPEL.
NO STITCHES.
THE PROCEDURE
A Simpler Approach to Vasectomy.
A no-needle, no-scalpel vasectomy is designed to minimize the amount of tissue disruption involved in the procedure.
1
NUMB
A needle-free anesthetic spray is used to numb the treatment area.
2
ACCESS
A very small opening provides access to the vas deferens.
3
DIVIDE
Each vas deferens is divided so sperm can no longer travel through the tubes.
4
SEPARATE
The ends are positioned to reduce the possibility of reconnection.
5
HEAL
The small opening heals naturally. No stitches are required.
The result is a focused procedure designed to get you back to your normal routine as quickly as possible.
THE DIFFERENCE
A Smarter Approach to Permanent Birth Control
When you’re certain your family is complete, the process shouldn’t feel complicated. Rocky Mountain Vasectomy provides focused, specialized care using a modern no-needle, no-scalpel technique designed for a straightforward experience.
| Outcome | Rate |
|---|---|
| Infection | 0%* |
| Symptomatic hematoma | <1%* |
| Chronic pain requiring medical attention | <1%* |
| Vasectomy failure / recanalization | <1%* |
| Repeat procedure | <1%* |
| Average time to confirmed negative semen analysis | ~3 months* |
| Additional treatment required | <1%* |
| Referral to urology / hospital | <1%* |
One Procedure. One Specialty. One Clear Goal.
Rocky Mountain Vasectomy is dedicated to making vasectomy care simple, efficient, and comfortable—from your first questions through your post-procedure testing.
No Needle. No Scalpel. No Stitches. Just Focused Vasectomy Care.
Montana & Wyoming's dedicated vasectomy practice
Billings | Bozeman | Great Falls | Helena | Miles City | Casper
Pay as little as $1,000 total when paying upfront, or $1,100 total with financing — with payment options starting at just $33/month.
$1,000 — Everything You Need, All in One Visit
Same-day consultation and vasectomy — no separate consultation appointment required.
Your $1,000 includes:
- Consultation with the provider
- Vasectomy procedure
- No-scalpel technique
- No-needle anesthesia
- Post-procedure instructions
- Direct post-procedure provider follow-up by telephone
- 24/7 provider availability for post-procedure questions
- Post-vasectomy semen-analysis test kit provided at the time of your procedure
- Repeat procedure at no additional charge if the initial vasectomy is unsuccessful
No referral required.
BEFORE YOUR VASECTOMY
Know What to Expect.
We want you to arrive prepared and comfortable.
Before your procedure, you’ll receive instructions covering preparation, grooming, medications, transportation, and what to expect after your vasectomy.
You’ll also have an opportunity to ask questions and make sure you’re comfortable with your decision.
AFTER YOUR VASECTOMY
Recovery is Simple.
- Day 1: Go home, relax, and rest for the remainder of the day.
- Day 2: You can return to work and resume about 50% of your normal activity level. For example, if you normally lift 250 pounds, limit yourself to about 125 pounds.
- Day 3: You can work as normal and return to full activity, including exercise, lifting, and sexual intercourse with protection.
FINANCING OPTIONS
Make Your Vasectomy More Manageable.
We believe financing should be simple, transparent, and easy to understand. That’s why Rocky Mountain Vasectomy offers flexible payment options to help you manage the cost of your procedure.
Pay Over Time with Cherry
With Cherry Payment Plans, you can apply online and review available payment options in seconds. Qualified applicants may have access to promotional 0% APR options, subject to eligibility.
More Financing Options
We also accept CareCredit, giving you another way to manage your procedure cost through a flexible healthcare financing option.
WHAT MAKES US DIFFERENT?
Focused Care. Modern Technique.
You don’t need a complicated experience.
You need a qualified professional, a proven technique, clear instructions, and someone who takes your questions seriously.
NO NEEDLE
A needle-free anesthetic delivery method is used to numb the area.
NO SCALPEL
The vas deferens are accessed through a small opening rather than a traditional incision.
NO STITCHES
The opening is small enough to heal naturally.
MINIMAL DOWNTIME
Most patients experience some soreness or swelling initially, with many returning to normal activities within a few days.
CLEAR INSTRUCTIONS
You’ll receive detailed before-and-after instructions so you know exactly what to expect.
PERSONALIZED CARE
From your first questions through your post-procedure testing, we’re here to guide you through the process.
Confirm Your Vasectomy Worked
Your vasectomy isn’t considered complete until your follow-up test confirms the results.
Meet SnipCheck
After your procedure, Rocky Mountain Vasectomy uses SnipCheck to make post-vasectomy testing simple and convenient. SnipCheck allows you to complete your follow-up testing from home and submit your sample for analysis without needing another in-office appointment.
Simple. Convenient. Confidential.
1. Collect Your Sample
Follow the easy collection instructions provided by SnipCheck.
2. Send It In
Package your sample and send it directly to the testing laboratory.
3. Get Your Results
Your results are reviewed and provided through the SnipCheck testing process.
Complete Your Follow-Up With SnipCheck
YOUR QUESTIONS, ANSWERED.
Vasectomy FAQs
A vasectomy is a safe, highly effective form of male birth control that prevents sperm from entering the semen. It works by blocking the vas deferens, the small tubes that carry sperm from the testicles toward the reproductive tract.
Unlike traditional vasectomy techniques that may cut and remove a section of the vas deferens, Rocky Mountain Vasectomy does not cut the tube. Instead, the vas deferens is occluded using cauterization and a hemoclip while preserving the tube itself.
Your testicles continue to produce sperm normally after the procedure. The sperm simply can no longer enter the semen and are naturally reabsorbed by the body, just as unused sperm are normally reabsorbed.
Very little. Your testosterone, sex drive, erections, orgasms, and ejaculation remain intact. Once your post-vasectomy test confirms success, the important difference is that sperm are no longer present in your semen, providing highly effective protection against pregnancy.
- Up to 97% reversal success rate
- The vas deferens is not cut or divided
- Reversal is much simpler than with a traditional cut vasectomy
- The procedure can be successfully reversed multiple times
- Highly effective protection against pregnancy
- No ongoing birth control needed once your physician confirms the vasectomy has been successful
- Less invasive and less expensive than female sterilization
- Take your test at home approximately 12 weeks after your procedure.
- Continue using protection until your test confirms that sperm are no longer present.
- More than 99% effective once the success of your vasectomy has been confirmed.
- If sperm are still present, we’ve got you covered. Rocky Mountain Vasectomy will repeat the vasectomy at no additional cost.
A vasectomy is a simple outpatient procedure that can be performed right in our office. General anesthesia is not required. A local anesthetic is used to keep you comfortable throughout the procedure, and you are able to go home the same day.
There are two primary approaches to accessing the vas deferens during a vasectomy. Rocky Mountain Vasectomy exclusively uses the No-Scalpel technique to provide patients with a less-invasive experience.
Traditional Vasectomy
With a traditional vasectomy, a scalpel is used to make one or more incisions in the scrotum to access the vas deferens. The vas deferens is then divided or otherwise occluded to prevent sperm from entering the semen. Depending on the technique used, stitches may be required to close the incision.
No-Scalpel Vasectomy
With the No-Scalpel technique, there is no traditional surgical incision. Instead, the vas deferens is accessed through a tiny puncture in the skin. The opening is so small that stitches are typically not needed.
For our patients, that means a simpler experience: an in-office procedure using local anesthetic, a very small opening, no traditional scalpel incision, and a straightforward recovery.
- Taking blood thinners? That’s okay. Patients taking blood-thinning medications have successfully received treatment. Simply let our office know in advance so we can properly prepare for your procedure. Do not stop any prescribed blood-thinning medication unless instructed to do so by your prescribing healthcare provider.
- No fasting is required. You can eat and drink normally before your procedure.
- Support is provided. An athletic support will be provided to comfortably support the treated area following your vasectomy.
- Only a small area needs to be shaved. There is no need to shave the entire genital area. Simply shave the area of the scrotum directly below the penis, where the procedure will be performed.
Your procedure begins with careful sterile preparation. The treatment area is thoroughly cleaned and you are properly draped to maintain a sterile environment throughout the procedure.
Next, a local spray anesthetic is applied to a very small area, approximately the size of a pencil eraser. This numbs the treatment area and helps keep you comfortable throughout the procedure.
Once the area is numb, a tiny opening is made to access the vas deferens. These are the two small tubes that carry sperm from the testicles toward the reproductive tract. No traditional surgical incision is required.
The vas deferens are then cauterized and secured with a hemoclip, blocking sperm from entering the semen. The testicles continue to produce sperm normally, but the sperm are naturally reabsorbed by the body.
That’s essentially it. The opening is so small that stitches are not needed. It is left to heal naturally as you begin your recovery.
Recovery following a vasectomy, especially with a minimally invasive technique, is typically very straightforward. Most men experience very little discomfort, with only mild tenderness or soreness during the first day or two. Minor bruising or swelling can occasionally occur, but is generally limited and resolves quickly.
An athletic support or snug-fitting underwear can help provide extra support to the scrotum during recovery. 800 mg of ibuprofen is recommended if needed to help with any discomfort.
For most men, recovery is quick and uncomplicated, with normal everyday activities resuming within just a few days.
No. Vasectomy is a very safe and highly effective procedure. Serious complications are extremely uncommon, particularly with the minimally invasive technique used at Rocky Mountain Vasectomy. In fact, we have never experienced a major complication in our office.
Most patients experience little more than mild tenderness or discomfort following the procedure. Minor bruising, swelling, or bleeding can occasionally occur and typically resolves quickly as the area heals.
As with any medical procedure, complications are possible, although uncommon. Potential complications can include:
- Infection
- Persistent or chronic discomfort
- Failure to prevent pregnancy
- Granuloma, an inflammatory response that can occur from leaking sperm
- Spermatocele, a small cyst that can develop near the upper testicle
- Hydrocele, a collection of fluid within the scrotum
For many couples, a vasectomy can have a positive effect on their sex life. A vasectomy does not reduce your sex drive, ability to have an erection, sensation, ejaculation, or orgasms. Once your vasectomy has been confirmed successful, you and your partner can enjoy sex without the ongoing worry of an unintended pregnancy.
Removing that concern can make intimacy feel more relaxed, spontaneous, and enjoyable, allowing both partners to focus on each other rather than worrying about birth control or the possibility of pregnancy.
You can typically resume sexual activity on Day 3 following your procedure if you are comfortable. It is important to continue using protection at first because a vasectomy does not make you sterile immediately. Sperm can remain in the reproductive tract for a period of time after the procedure.
Approximately 12 weeks after your vasectomy, you will use the post-vasectomy test kit provided by our office to confirm that sperm are no longer present. Until you receive a successful test result, continue using another form of birth control.
Your sex life should still feel like your sex life. The difference is that once your vasectomy is confirmed successful, the stress of an unintended pregnancy can be removed from the equation.
No. A vasectomy does not negatively affect your sexual function. It does not reduce your sex drive, interfere with your ability to get or maintain an erection, change the sensation of sex, or diminish the intensity of your orgasms.
You will still ejaculate normally, and the amount and appearance of your semen should remain essentially the same. Sperm make up only a small portion of semen, so blocking them from entering the ejaculate does not create a noticeable difference.
There are many myths surrounding vasectomy and sexual performance, but a vasectomy does not interfere with the hormones or physical processes responsible for desire, erections, ejaculation, or orgasm.
Once your post-vasectomy test confirms that the procedure was successful, sperm will no longer be present in your semen. Everything else about your sexual function and enjoyment should remain the same.
Life changes, and changing your mind doesn’t necessarily mean you’ve lost the opportunity to have children. Vasectomy reversal is available for men who decide they would like to restore their fertility in the future.
At Rocky Mountain Vasectomy, our reversal procedures have achieved a 97% success rate. Our vasectomy technique is also designed with reversibility in mind. Rather than removing a section of the vas deferens, the tube is preserved, which can make restoring its pathway easier if a reversal is desired later.
Yes, it can be possible. In fact, Rocky Mountain Vasectomy has treated one patient through this process four separate times. He returned for a reversal when he wanted to have another child and later chose to have another vasectomy, repeating the process as his family plans changed.
While no medical procedure can guarantee future fertility or pregnancy, our 97% reversal success rate provides patients with additional peace of mind knowing that if their plans change, there is an established option for restoring fertility.
YOUR DECISION. YOUR NEXT STEP.
When you’re ready, we’re here to make your vasectomy simple and straightforward.
