His Choice Raleigh and His Choice Durham announced their official unification under a new brand, His Choice Health, bringing together two physician-led practices with a shared mission: expanding access to high-quality vasectomy services while building a broader, evidence-based model for men’s health care.
“Vasectomy is one of the safest, most effective, and most cost-efficient forms of permanent contraception, yet it remains significantly underutilised,” said Dr Monteith. “In many communities, access is limited by long wait times, high costs driven by insurance complexity, and care models that rely unnecessarily on operating rooms and general anaesthesia.”
His Choice Health operates as a cash-pay vasectomy and men’s health clinic, a model designed to simplify care while providing transparent, predictable pricing. While many patients assume vasectomy is fully covered by insurance, the reality is often different. Men in North Carolina and Virginia frequently pay $1,500 to $2,500 or more out of pocket when using insurance, once consultations, facility fees, anaesthesia, and follow-up testing are included — in addition to payments made by insurers.
By contrast, His Choice Health offers an all-inclusive price of $1,250, which in most cases is less than the out-of-pocket cost associated with insurance-based care. This approach eliminates surprise bills and avoids unnecessary procedural complexity.
Access and timeliness are also major barriers in traditional care settings. At many hospital-based or private urology practices, wait times for a vasectomy range from three to nine months. At His Choice Health, most patients are able to schedule and complete their procedure within one to two weeks, with the entire process scheduled online. In many cases, consultation and a no-scalpel vasectomy procedure are completed in a single visit.
The practice specialises in the no-scalpel vasectomy technique, widely regarded as the least invasive and least painful option available. As a result of its focus on efficiency and experience, patients routinely travel two hours or more to receive care at His Choice Health’s Raleigh and Durham locations.
