If the vasectomy reversal procedure is not an option or was unsuccessful, there are additional options available for patients looking to have children after the fact. If a male patient chose sperm banking before undergoing the initial vasectomy, this sperm could be used to attempt an in-vitro pregnancy. If he did not, many couples still try surgical sperm retrieval from the man, sperm donors combined with in-vitro fertilization, egg donors, surrogates, fostering and adoption. The inability to reverse a vasectomy does not mean the end of a loving and rewarding family; it simply means an additional challenge to ensure each patient gets exactly what he wants out of life despite a setback. Luckily, the modern world has many, many options for reversing a vasectomy or choosing what to do afterward to grow one's family.