Expanding Minimally Invasive No Scalpel Vasectomy Across The Carolinas
February 14, 2026
His Choice vasectomy Raleigh and His Choice vasectomy Durham are uniting to form His Choice Health. The goal is to expand access to minimally invasive, no scalpel vasectomy access across the southeast.
His Choice Health is a group organized by physicians who are passionate about expanding access to high quality vasectomy care and building a larger practice focused exclusively on men’s health care.
For years, men across North Carolina and Virginia have faced the same frustrating reality when trying to schedule a vasectomy: long wait times, confusing insurance costs, and unnecessary medical complexity for what is widely considered one of the safest and most effective forms of permanent contraception.
That’s exactly why His Choice Vasectomy Raleigh and His Choice Vasectomy Durham have done so well and grown rapidly in the last five years. This is one reason the practices are joining together under one unified brand: His Choice Health.
This new organization brings together two physician-led practices with a shared goals: expanding access to high-quality, single visit vasectomy while laying the foundation for a broader, evidence-based men’s health platform.
For many years, mens reproductive health has largely been ignored at the expense of female contraception and female reproductive health. Don’t get us wrong female reproductive health is extremely important but not to the point that one group needs to be overlooked or ignored.
Someone reading this is going to get very upset…so lets explain. Many places offer family planning…but when you call you and ask questions you will soon realize that family planning has nothing to do with offering family care or services and mostly focuses on providing contraceptive care to women.
Don’t get it twisted the mother is an integral part of the family unit…but isn’t there usually another contributor? How about the guy?
Only Providing The Best Vasectomy Procedure
Many doctors continue to provide more invasive vasectomy procedures like scalpel or incisional vasectomy. Some doctors provide ‘minimally invasive vasectomy’ but they do so through multiple small incisions and use sutures to close the small incisions.
His Choice Health only offers the most minimally invasive, safest no scalpel vasectomy. This is the most modern procedure.
The American Urological Association recently published their 2026 guidelines strongly recommending that doctors should only provide no scalpel vasectomy to their patients.
“Surgeons should isolate and expose the vas deferens for vasectomy using a minimally invasive approach such as the no-scalpel vasectomy (NSV) technique.” Recommendation by the American Urological Association.
More information American Urological Association 2026 Vasectomy Guidelines
No scalpel vasectomy is far safer than scalpel vasectomy. Despite the clear benefits of no scalpel, minimally invasive vasectomy many doctors continue to provide older methods of vasectomy.
More information: Scalpel vs no scalpel vasectomy
His Choice Health has always and forever will continue to provide minimally invasive single opening, no scalpel no suture vasectomy procedures to patients. It is the only way to go when having a vasectomy procedure.
His Choice Raleigh: Providing Minimally Invasive, No Scalpel Vasectomy in Raleigh for Last Decade
His Choice Raleigh, founded in 2014, has become a trusted destination in Raleigh NC for minimally invasive no scalpel vasectomy services for more than a decade. The practice was established by Dr. Charles Monteith, a nationally recognized physician who has performed more than 10,000 vasectomy procedures and is widely known for his technical expertise, low complication rates, and patient-centered approach.
As demand for specialized vasectomy care continued to rise, expansion into Durham followed.
His Choice Durham: Built for Growth and Access
His Choice Durham began offering minimally invasive no scalpel vasectomy services in 2023 and is led by Dr. Matthew Zerden, who trained directly under Dr. Monteith.
Since launching, the Durham practice has experienced strong patient demand — reflecting both the growing need for vasectomy care and the value of a streamlined outpatient model built around efficiency, transparency, and quality.
Together, the Raleigh and Durham locations now operate under one unified name: His Choice Health.
Why Minimally Invasive No Scalpel Vasectomy Is Not Accessible?
Despite being one of the safest and most cost-effective forms of permanent contraception, vasectomy remains significantly underused. Men have to have consultation appointments 3 to 6 months into the future. They have to negotiate high deductibles and often pay out of pocket. Vasectomy can easily cost north of $2,000.
Many vasectomy providers are only offering scalpel vasectomy which is more painful and has more risk. Patients who have scalpel vasectomy often have to take time off of work and that is also a big barrier to having a vasectomy procedure.
“Vasectomy is one of the safest, most effective, and most cost-efficient forms of permanent contraception, yet it remains significantly underutilized,” said Dr. Monteith. “In many communities, access is limited by long wait times, high costs driven by insurance complexity, and care models that sometimes rely unnecessarily on operating rooms and general anesthesia.”
For many men, the issue isn’t the procedure itself — it’s the system surrounding it. His Choice Health is determined to make the system better for men seeking vasectomy. They are dedicated to expanded vasectomy access across the Carolinas
Clear Cost Without Insurance Confusion
His Choice Health operates as a cash-pay clinic, designed to simplify the process and provide transparent, predictable pricing.
Many men assume vasectomy is fully covered by insurance. In reality, insurance-based vasectomy care often includes extra consultations, facility fees, anesthesia charges, and follow-up testing — and patients are frequently left with large out-of-pocket costs.
In North Carolina and Virginia, patients commonly pay $2,500 or more out-of-pocket when using insurance, once all fees are included (in addition to what insurers pay).
His Choice Health offers a simple alternative: an all-inclusive price of $1,250, designed to eliminate surprise billing and reduce unnecessary complexity.
Faster Vasectomy Scheduling: Weeks Instead of Months
Another major barrier for patients is time.
At many hospital-based or traditional urology practices, vasectomy scheduling can take three to nine months. His Choice Health has built an outpatient model that allows most patients to schedule and complete their procedure in one to two weeks.
The process is designed to be simple:
- Online vasectomy scheduling
- Optional consultation visits
- Same-visit minimally invasive no-scalpel vasectomy procedure (widely regarded as the least painful and most advanced technique)
Because of this efficiency and reputation, men routinely travel two hours or more to receive care at the Raleigh and Durham locations.
Vasectomy Experience Matters
Most vasectomy doctors perform 2 or 3 vasectomy procedures per week. Some doctors may only do one vasectomy a month. The more vasectomy procedures a doctor performs then they more skilled and experienced they have. This lowers complication rates. If you want the safest vasectomy with the lowest risk of scrotal hematoma and the lowest risk of failure then you should go to a doctor who does a lot of vasectomy procedures.
His Choice Health physicians perform five to ten times more vasectomies than the average urologist performs annually. That level of repetition leads to refinement, efficiency, and more consistent outcomes.
“Nothing speaks more clearly to quality and the need for more access than patient behavior,” said Dr. Monteith. “When a patient drives 120 miles, past five or six urology practices, to come to us for their procedure, it tells you that experience and trust matter — and that this type of care isn’t available everywhere.”
Expansion Plans: Bringing Better Access to More Men
By uniting the previously independent Raleigh and Durham practices under the His Choice Health brand, the organization aims to operate more efficiently and bring high-quality vasectomy care closer to where patients live.
Early expansion markets are expected to include:
- Charlotte North Carolina
- Richmond Virginia
- Other surrounding Mid-Atlantic communities
The His Choice Charlotte office will be open the first week of March 2026. Visit their website if you want to schedule your Charlotte vasectomy procedure.
More information: His Choice Charlotte
While the practices now share a unified brand and centralized infrastructure, each clinic remains independently owned and operated by its physician leaders.
His Choice Health is also supported by a medical advisory team composed of leading cardiologists, urologists, and internal medicine physicians.
Going Beyond Minimally Invasive No Scalpel Vasectomy
Although minimally invasive, no scalpel vasectomy remains the core focus today, the long-term vision is bigger.
His Choice Health plans to expand into a broader men’s health platform focused on evidence-based care in areas including:
- cardiovascular risk and prevention
- prostate and urologic health
- hormone support
- metabolic health
The goal is to bring the same level of quality, transparency, and patient-centered experience to men’s healthcare more broadly — an area that is often underserved and overlooked in today’s healthcare system.
“Our name reflects our philosophy,” Dr. Monteith added. “This is about giving men clear choices, high-quality care, and the opportunity to step up and take ownership of their health.”
Men’s health is changing. Consider signing up with His Choice Health so you can live a healthier lifestyle.
