His Choice Raleigh and Durham are joining together! Drumroll please…now they are becoming His Choice Health! This will be a growing practice of like minded doctors who are dedicated to providing single visit, no scalpel vasectomy across the Carolinas and the greater south east.
Two leading vasectomy practices in North Carolina are coming together with a larger vision.
His Choice Vasectomy Raleigh and His Choice Vasectomy Durham are officially joining forces under a single name: His Choice Health.
The goal of His Choice Health is to expand men’s reproductive services and no scalpel vasectomy in North Carolina and Virginia.
This unification is about more than branding. It represents a strategic step toward increasing availability no-scalpel vasectomy throughout the Southeast — while also building a physician-led platform dedicated entirely to modern men’s healthcare.
A Physician-Driven Mission Focused on Men
His Choice Health was created by physicians who believe men deserve easier access to high-quality, specialized care. The organization’s immediate focus remains expert no-scalpel vasectomy, but the long-term goal is to build a comprehensive men’s health model rooted in evidence, efficiency, and transparency.
For years, men in North Carolina and Virginia have encountered major barriers when seeking vasectomy:
- Consultation appointments scheduled months in advance
- Insurance confusion and high deductibles
- Procedures performed in operating rooms that increase cost and complexity
Ironically, this is happening despite vasectomy being one of the safest and most reliable permanent contraception options available.
The success and rapid growth of both Raleigh and Durham practices over the past several years reflects a simple truth: when care is accessible, streamlined, and specialized, patients respond.
Rebalancing the Conversation Around Reproductive Health
Reproductive healthcare conversations have historically centered on women — and rightly so in many respects. Female reproductive care is essential and deserves continued attention and investment.
But family planning involves more than one person.
When patients call many “family planning” centers, they often discover that services are primarily directed toward female contraception. The role of men in long-term family planning decisions is frequently minimized.
His Choice Health believes men should have a clear, accessible path to take responsibility for their reproductive choices — without unnecessary obstacles.
A Decade of No Scalpel North Carolina Experience in Raleigh
Founded in 2014, His Choice Raleigh has spent more than ten years serving men seeking minimally invasive no scalpel vasectomy in North Carolina. The practice was established by Dr. Charles Monteith, who has performed over 10,000 procedures. Men regularly traveled from as far away as Georgia, Pennsylvania and Ohio to have single visit no scalpel vasectomy in Raleigh, NC.
Dr. Monteith’s focus on repetition, refinement, and outpatient efficiency has resulted in consistently low complication rates and strong patient satisfaction. As demand increased across the region, expansion into Durham became a natural next step.
No Scalpel Vasectomy North Carolina: Growth in Durham
His Choice Durham opened in 2023 under the leadership of Dr. Matthew Zerden, who trained directly with Dr. Monteith.
The Durham location quickly experienced high demand, demonstrating that patients are actively seeking a more straightforward, specialized no scalpel vasectomy experience.
Today, both locations operate together as His Choice Health, maintaining the same physician leadership while sharing centralized systems and infrastructure.
Why Access to No-Scalpel Vasectomy Remains Limited
Although vasectomy is widely recognized as safe and cost-efficient, access challenges persist.
Common barriers include:
* Consultation appointments scheduled 3–6 months out
* Out-of-pocket costs that can exceed $2,000
* Scalpel-based techniques that may require longer recovery
* Lost work time due to procedural inefficiencies
Many men discover that insurance-based vasectomy care can involve facility fees, anesthesia charges, and multiple visits. Even with insurance, the financial burden often surprises patients.
As Dr. Monteith explains:
“Vasectomy is one of the safest and most effective permanent contraception methods available. Yet access is frequently limited by unnecessary complexity in the healthcare system. Men regularly have to wait 6 months for a mandatory consultation and even more time for a vasectomy. A lot of stuff can happen in that time!”
If you want to know why His Choice provides the best experience: Why vasectomy with us?
The issue is rarely the procedure itself — it’s the organizational structure surrounding the provision of health care in men’s health.
Transparent Pricing Without Insurance Surprises
His Choice Health operates on a direct-pay model to simplify costs.
Instead of unpredictable billing and layered insurance fees, patients are offered a straightforward, all-inclusive price of $1,250. This covers the procedure without facility fees, anesthesia billing surprises, or hidden charges.
For more information: Cost of vasectomy with His Choice Health
In contrast, patients using insurance in North Carolina and Virginia often pay $2,000–$2,500 or more once deductibles and additional charges are applied.
The goal is clarity — so patients know the total cost upfront.
Faster Scheduling, Streamlined Care
Traditional hospital systems and many private urology offices frequently schedule vasectomy consultations months into the future. His Choice Health has built a model designed for speed and simplicity.
Most patients can complete the entire process within one to two weeks.
The workflow includes:
* Online scheduling
* Optional consultation visits
* Same-visit no-scalpel vasectomy
Because of this efficiency and reputation, patients regularly travel long distances — sometimes over 100 miles — for care.
Only Providing the Best Vasectomy Procedure
The doctors of His Choice Health only provide the best vasectomy procedure: minimally invasive, no scalpel vasectomy with cautery and fascial interposition.
Minimally invasive, No scalpel: According to the American Urology Association 2026 vasectomy guidelines this is the only vasectomy procedure doctors should offer because it is safe with a low risk of side-effects.
Most doctors perform ligation and resection vasectomy. Unfortunately, this vasectomy procedure results in unacceptably high chances of vasectomy failure.
The doctors of His Choice Health only provide fascial interposition with cautery of the inside of the vas deferens. This vasectomy method is superior to other commonly used vasectomy methods in preventing the chance of vasectomy failure and pregnancy. This is why we confidently say we provide the best vasectomy procedure.
- AUA 2026 vasectomy guidelines #12 and #13 recommendations
- Fascial interposition vasectomy is superior to ligation and resection vasectomy
Why Procedural Volume Matters
Experience plays a critical role in procedural medicine.
Some providers perform only a handful of vasectomies per month. In contrast, His Choice Health physicians perform significantly higher volumes — often five to ten times more procedures annually than the average urologist.
Higher volume leads to:
- Greater technical consistency
- Lower complication rates
- Reduced risk of hematoma
- Improved efficiency
As Dr. Monteith notes:
“When someone drives past multiple practices to come to us, that speaks to trust and experience. Patients recognize the value of specialization. Cost is important but so is experience. No one wants to trust their ‘family’ jewels to just anyone!”
Expansion Into New Markets
With Raleigh and Durham unified, His Choice Health is preparing for geographic growth.
Upcoming expansion includes:
- Charlotte, North Carolina (opening March 2026)
- Richmond, Virginia (opening end of 2026)
- Additional Mid-Atlantic states
Each location will remain physician-led while benefiting from centralized operations and medical advisory support.
For more information about our newest location visit: His Choice Charlotte vasectomy
Looking Beyond No Scalpel Vasectomy
While minimally invasive vasectomy remains the core service today, the broader mission is to expand into comprehensive men’s health services.
Future areas of focus include:
- Cardiovascular risk assessment and prevention
- Prostate and urologic care
- Hormone optimization
- Metabolic health management
The objective is to deliver the same efficiency, transparency, and specialization to other aspects of men’s health — areas that are often fragmented in traditional healthcare systems.
A Clear Choice for Men
The name His Choice Health reflects the organization’s philosophy: empowering men with straightforward options, transparent pricing, and access to experienced physicians.
Men’s healthcare is evolving. Greater accessibility, simplified systems, and physician-led specialization are shaping what comes next.
If you’re considering a vasectomy — or want to take a more active role in your long-term health — His Choice Health is building a platform designed specifically for you.
Visit our new site to learn more or schedule an appointment: His Choice Mens Health
