His Choice No Cut Vasectomy is one of the most minimally invasive forms of vasectomy. A His Choice vasectomy is a no needle, no scalpel minimally invasive open-ended vasectomy procedure.A His Choice vasectomy can be performed in a single office visit using local anesthesia in less than 15 minutes. Most patients report minimal pain during and after their vasectomy and can return to normal activities 48 hours after a His Choice Vasectomy. Dr Matthew Zerden is the Medical Director.