Vasectomy: The Cruelest Cut Of All exposes the modern medical nightmare that is Post-Vasectomy Pain Syndrome (PVPS). Widely viewed as "safe and simple" vasectomy frequently produces lifelong pain, often worsened by sexual activity, arising months or years after the procedure. PVPS represents the proverbial tip of the iceberg, damage to the male reproductive system comprising the massive portion below the surface. Too ashamed to speak up many men suffer in silence unless the pain is agonizing. Effective treatment for the affliction is very expensive and not readily available in many countries where vasectomy is heavily promoted. This comprehensive and clear exposition of the topic covers changes to the male reproductive system following vasectomy, the incidence and symptoms of PVPS, mechanisms of pain, treatment options, counselling and informed consent, and other vasectomy related problems. It is a must read for men and their spouses considering a vasectomy, those experiencing pain following a vasectomy, physicians providing this procedure, and counsellors.