My husband had surgery on August last year and I only wish we would have informed ourselves a little bit better before hand, the urologist promised us that everything would be fine, since we already had a son he was confident my DH's numbers would be up in no time. Later on we found out that is not even confirmed that varicoseles has nothing to do with low number, long story short and $10,000 lighter we are doing IVF now, so my opinion is bypass the surgery if you can and go straight to IFV.