Vasectomy Reversal in Thailand

Why Thailand Is Popular for Vasectomy Reversal

1. A written price before you commit. Our partner hospitals issue a formal cost estimate on hospital letterhead, itemised line by line, before you book a flight. The Thailand prices on this page are sourced directly from previous cases we have coordinated, issued up until August 2026. We do not add a markup, and you pay the hospital directly.
2. The standard reversal is a fraction of the price at home. A microsurgical vasovasostomy at our partner hospitals starts at THB 89,500 (about $2,700 USD). Comparable private fees run $8,000 to $15,000 in the United States, around £4,000 in the United Kingdom, up to A$10,000 in Australia and NZ$12,000 or more in New Zealand.
3. Both techniques are available in one city. The simpler vasovasostomy and the more complex vasoepididymostomy are performed by different surgeons in Bangkok, at different hospitals and very different prices. Knowing which one you are likely to need is the single most important decision before booking your vasectomy reversal We put your history in front of the surgeon and get you a written opinion before you travel, so that decision is made at your desk rather than on the operating table.
4. No waiting list, and weekend consultations. Surgery is usually scheduled for the day after your consultation, weekend clinic slots are available, and we can arrange a telemedicine consultation with the surgeon before you fly.

What Is a Vasectomy Reversal?

A vasectomy cuts or blocks the vas deferens, the two tubes that carry sperm from the testicles to the urethra. A vasectomy reversal reconnects those tubes under an operating microscope so that sperm can travel as they did before. It is the option for men who want to conceive naturally after a change in circumstances, such as a new partner or a decision to have more children.

There are two ways to reconnect the system, and the surgeon does not always know which one is needed until the operation is under way. At the start of surgery the vas deferens is opened above the vasectomy site and the fluid inside is examined under the microscope.

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Vasovasostomy (VV) is performed when sperm, or fluid that suggests sperm can still get through, is found in the vas. The two cut ends of the vas deferens are stitched back together with microsurgical sutures. This is the standard vasectomy reversal, and it is what most men need.

Vasoepididymostomy (VE), also called epididymovasostomy, is needed when no sperm is found in the fluid. That usually means pressure has caused a second blockage further back, in the epididymis, the coiled tube behind each testicle. The surgeon bypasses the blockage by joining the vas deferens directly to the epididymis. This is a much finer piece of microsurgery, performed under general anaesthetic, and only surgeons with specific microsurgical training offer it.

The longer it has been since your vasectomy, the higher the chance that a vasoepididymostomy will be needed on at least one side.

Not every surgeon who performs vasectomy reversal can convert to a vasoepididymostomy if the fluid shows no sperm. Most surgeons in Bangkok perform the standard vasovasostomy only. If your vasectomy was many years ago, or you want the epididymal bypass available as a fallback during the same operation, that has to be considered before you choose a surgeon.

Tell us how long ago your vasectomy was and we will confirm with the surgeon, in writing, what he will and will not do during your operation before anything is booked.

Vasectomy Reversal Costs in Thailand

The prices below come from written cost estimates the hospitals issued to Konkai Health for real patients as recent as August 2026. All figures are in Thai baht with approximate US dollar conversions at 33.1 THB per dollar. Konkai Health charges no fee and adds no markup.

Every estimate is described by the hospital as a starting price. The final figure is confirmed after the surgeon examines you, estimates can move up or down on after the urologist has examined your vasectomy scar and overall health.

Praram 9 Hospital

Praram 9 is JCI-accredited and ranked among Thailand's top ten private hospitals by Newsweek. It is where the large majority of our vasectomy reversal patients go for their surgery as it provides excellent value with JCI accreditation but lower prices than most of the top hospitals with similar accreditations.

Surgeon: Dr. Sutee Umpreecha, urologist. Dr. Sutee graduated from Siriraj Hospital, Mahidol University in 1986 and completed his urology training at Phramongkutklao Hospital in 1992. He has more than 30 years of urology experience and does dozens of vasectomy reversals every year. His expertise is the standard vasovasostomy procedure.

Praram 9 cost estimate, 2026 price. All items are "starts from" prices.

• Vasectomy reversal under local anaesthetic, outpatient, about 30 minutes: 89,500 THB (~$2,700)
• Initial consultation with the urologist: 1,500 THB (~$45) per visit
• Pre-operative evaluation: 5,000 THB (~$150)
• Medication: 5,000 THB (~$150)

For a straightforward case, plan on roughly 91,000 to 96,000 THB (~$2,750 to $2,900) for the consultation, pre-operative check and the operation itself. The surgical fee includes the doctor's fee, anaesthesiologist's fee, nursing, hospital service charge, equipment and operating theatre. Treatment of unrelated conditions, complications and take-home medication beyond the estimate are excluded.

The first appointment is an examination of the vasectomy scar rather than the surgery itself, with the reversal usually scheduled for the following day. Preparation is minimal, with no fasting required and one blood test taken at the hospital on the day.

Learn more about Praram 9 Hospital →

MedPark Hospital

MedPark opened in 2020 and is ranked as the sixth best private hospital in Thailand by Newsweek. Around 70% of its physicians hold overseas board certifications, and its urology team offers both reversal techniques with the decision made during the operation.

MedPark Hospital has three urologists who perform both techniques: Dr. Paibul Boonyapanichskul, Dr. Akanae Wongsawat and Dr. Wittawat Thaijaroenporn.

MedPark cost estimate, issued August 2026.

• Bilateral vasovasostomy or vasoepididymostomy under general anaesthetic, 1 to 2 nights admitted: starts from 320,000 to 350,000 THB (~$9,700 to $10,600)
• Initial consultation: 1,000 to 2,500 THB (~$30 to $75) per visit
• Pre-operative evaluation: quoted separately after consultation

The surgical price includes the surgeon's and anaesthesiologist's fees, operating theatre, equipment and medication as specified in the package, and an Executive Lake or River view room. Excluded are the pre-operative evaluation, treatment of other conditions, complications, ICU care and take-home medication. Plan for one to two weeks in Thailand.

Learn more about MedPark Hospital →

Bangkok Hospital

Bangkok Hospital is the 488-bed flagship of the BDMS group, JCI-accredited and ranked fifth in Thailand by Newsweek in 2026. Its urology department also performs vasoepididymostomy.

Dr. Weerayut Wiriyabanditkul completed his urology training at Phramongkutklao College of Medicine in 2017 and andrology training at the University of California, San Francisco in 2024.

Dr. Soarawee Weerasopone is a board-certified urologist (Thai Medical Council, 2016) with fellowships in andrology and robotic surgery at Chang Gung Memorial Hospital, Taiwan. He is currently a research scholar at the Scott Department of Urology, Baylor College of Medicine in Houston, and returns to Bangkok Hospital in November 2026.

Pricing: 400,000 to 500,000 THB (~$12,100 to $15,100) for a vasoepididymostomy. We can request a formal estimate once the surgeon has reviewed your history.

Learn more about Bangkok Hospital →

Bumrungrad International Hospital

Bumrungrad is Thailand's highest-ranked hospital, first in the country on Newsweek's list for six consecutive years and 96th in the world in 2026, and the first hospital in Asia to be JCI-accredited. Male fertility is handled between its Urology Center, its Men's Center and its Fertility Center and IVF Clinic, so a patient weighing a reversal against sperm retrieval with IVF can see both teams in the same building. The majority of its physicians hold international board certifications, and English is spoken at every step of the visit.

Pricing: contact required. Ask us and we will request a written estimate and the surgeon's profile from Bumrungrad's medical enquiry team, usually within a few working days. A telemedicine consultation with the urologist can be arranged before you travel (deposit from THB 2,055, about $60, credited against the consultation).

Learn more about Bumrungrad International Hospital →

Prices are the hospitals' own estimates, valid at the date shown, and can change without notice. They exclude flights and accommodation. Contact us for a current written estimate in your name.

How We Match You to the Right Surgeon

Nobody can tell you with certainty before surgery which technique you will need, but three questions predict it well. They are the first things we ask, and the answers decide which surgeon we put your case in front of.

How long ago was your vasectomy? The more years that have passed, the higher the chance of a blockage in the epididymis, and the more it matters that your surgeon can perform the bypass in the same operation.

Have you had other surgery in the area since? Inguinal hernia repairs, a previous reversal attempt, or a vasectomy done with a large amount of tissue removed all change the picture. We pass this to the surgeon before anything is booked.

Do you want the fallback covered? Some men are happy to book the standard reversal at the standard price and accept that the bypass is not part of it. Others want the epididymal option on the table from the start and are comfortable with the higher budget.

Send us those three answers and we will ask the surgeon to review your history and give you a written opinion, with an itemised estimate, before you book anything. Where two hospitals are realistic options, we request estimates from both so you can compare them side by side.

Success Rates

Reversal outcomes depend heavily on how many years have passed since the vasectomy. The most widely cited figures come from the Vasovasostomy Study Group, published in the Journal of Urology:

These are published research figures, not the results of any individual surgeon or hospital on this page. Sperm returning to the semen does not guarantee a pregnancy, which also depends on sperm quality and your partner's fertility. Patency rates after a vasoepididymostomy are lower than after a vasovasostomy and can take longer to show in a semen analysis.

Your surgeon will recommend a semen analysis a few months after surgery. It does not have to be done at the same hospital, and we can arrange one at home or at a fertility clinic in Bangkok if you are staying longer.

When a Reversal May Not Be the Best Option

If your vasectomy was more than fifteen years ago, a previous reversal has failed, or your partner is over 35 and time to conception matters, it is worth comparing reversal against surgical sperm retrieval combined with IVF and ICSI. Sperm is taken directly from the testicle or epididymis and a single sperm is injected into each egg, so the years since your vasectomy matter far less.

The trade-offs are that your partner goes through an IVF cycle, each pregnancy attempt is a separate cycle, and Thai law requires a marriage certificate for IVF. A reversal, when it works, restores ongoing natural fertility. If you only want one more child, or your partner has known fertility factors, sperm retrieval with IVF may give you a better chance per attempt. We work with several fertility clinics in Bangkok and can arrange a consultation for you and your partner alongside the urology opinion, so you can compare both routes in one trip.

Planning Your Trip

The length of stay depends on which technique you are having.

Standard reversal under local anaesthetic (plan about 8 days)

• Day 1: Arrive in Bangkok and check into your hotel. We recommend hotels within a short taxi ride of the hospital or can book one for you if you choose one of our partner hotels.
• Day 2: Consultation and examination with the surgeon. We confirm the time, building and counter with you beforehand.
• Day 3: Surgery, about 30 minutes as a day case. You return to your hotel the same day.
• Days 4 to 7: Rest in Bangkok. Light walking is fine, but plan quiet days rather than sightseeing.
• Day 7 or 8: Follow-up appointment with the surgeon, after which you are cleared to fly home.

Vasoepididymostomy under general anaesthetic (plan 10 to 14 days)

• Day 1: Arrive in Bangkok.
• Day 2: Consultation and pre-operative evaluation.
• Day 3 to 4: Surgery with one to two nights admitted.
• Following week: Rest, wound check and a follow-up with the surgeon before flying. The hospital advises staying in Thailand for at least one to two weeks in total.

What to bring: your passport (the hospital registers you with it), any operation note or letter from your original vasectomy if you have it, and details of any surgery in the groin or scrotum since. If you have had a semen analysis or hormone tests recently, bring those too.

How to Book

1. Tell us when your vasectomy was. Send us the year of your vasectomy, any surgery since, and whether you want the epididymal bypass available. This decides which surgeon we put your case to.
2. Surgeon review and written estimate. We send a copy of your passport (required for hospital registration) and your history to the surgeon and come back with their medical opinion and an itemised cost estimate on hospital letterhead, usually within a few working days. Where it helps, we get estimates from two hospitals. There is no charge for this.
3. Optional telemedicine consultation. We can arrange a paid video consultation with the surgeon before you travel, and confirm the time in your time zone.
4. Confirm your dates. Send us two possible dates and we'll check availability. We register you with the hospital, book the consultation and surgery, and send you the hospital's confirmation letter.
5. Fly to Bangkok. We stay in contact throughout your stay, confirm where and when to report, and handle any changes with the hospital directly.

How Konkai Health Helps

We coordinate multiple vasectomy reversal procedures every month, which is why we know the exact costs and surgeons across our whole partner network.

Our service is free to you. We match your history to the right surgeon, confirm in writing what he will and will not do during your operation, obtain the itemised estimate, book the consultation and surgery, coordinate a telemedicine call if you want one, book accommodation near the hospital, and stay in touch until your follow-up. If the numbers or the odds point to a different route, such as sperm retrieval with IVF, we will say so and arrange that consultation instead.

Request a free written estimate below, and include the year of your vasectomy so we can route you to the right surgeon from the start.