Had my vasectomy completed January 2022 CF 24m in a relationship. No consultation was required for me, quick and easy set up for an appointment. Insurance in Washington is required to fully cover vasectomies. I had out of state insurance and I still only paid $30 for the procedure. John was a very nice and pleasant doctor. No bingos except the offer to freeze sperm (which I naturally refused). However, one thing to note is right before surgery I did receive a packet/waiver because I was under 30 with no kids that outlined some points that borderlined bingos. It was odd but didn’t really take away due to no pressure or anything from the doctor, office aids and assistants to seriously read or discuss, felt like just a general intake form. Total time was 30min for procedure with 10 min of waiting. Overall I highly recommend this doctor for kindness and the affordability towards out of state insurance.