A recent study conducted in Israel has found that vasectomy procedures performed under local anesthesia are both safe and largely painless, with most participants reporting high satisfaction and quick recovery. The no-scalpel technique, highlighted by Dr. Kabha, further reduces risks such as bleeding and infection. Despite international recommendations favoring local anesthesia, Israeli practices still commonly use sedation, influenced by cultural attitudes regarding masculinity and bodily autonomy. The study involved 55 men, with the majority opting for local anesthesia and reporting positive experiences in terms of pain, recovery, and overall satisfaction.