

High Court: Vasectomy Failure Isn’t Medical Negligence
Summary: The Punjab and Haryana High Court ruled that a failed vasectomy does not amount to medical negligence and overturned the compensation awarded to a couple. The court emphasised that vasectomy failure is rare but possible, and the couple didn’t provide proof of following the post-operative instructions.
Can a Failed Vasectomy Be Considered Medical Negligence?
Vasectomy failure is rare but not impossible. And according to the Punjab and Haryana High Court, it doesn’t automatically amount to medical negligence. In a recent ruling, the High Court reversed a lower court’s compensation order of ₹1 lakh to a couple whose vasectomy procedure had failed, resulting in the birth of their fifth child.
Here’s what the case was about, what the court said, and why the judgment matters.
What Was the Case?
Back in 1986, a man underwent a vasectomy at a government health centre in Chandigarh. Before the procedure, he was given a certificate stating that the doctor would not be held liable if the operation failed. He was also advised to:
- Avoid intercourse for 3 months
- Use alternative contraception
- Get a semen analysis done after 3 months
However, the couple later claimed the operation failed, leading to the birth of their fifth child.
Trial Court Had Ordered Compensation
The couple approached the trial court, which ruled in their favour and awarded ₹1,00,000 compensation with 6% interest per year starting from the birth of the child in 1988.
But the State challenged this decision at the High Court, arguing that the patient had been clearly advised about possible failure and necessary precautions. Moreover, an undertaking was taken in writing that the doctor would not be responsible in case of failure.
Vasectomy Failure: Rare but Possible
Justice Nidhi Gupta, who led the High Court bench, pointed out that vasectomy failures are statistically rare, ranging from 0.3% to 9%. The couple, in this case, fell into that rare category.
“This would not imply any negligence on the part of defendant No.4 (doctor),” the judge said.
The Court emphasised that the failure of a sterilisation procedure, by itself, does not indicate negligence.
No Proof of Follow-Up Testing
While the petitioner claimed he visited the Civil Hospital for semen testing three months after the procedure, no proof was submitted to support this.
The court also stated: “The plaintiffs have failed to produce any proof that there was no carelessness on their part and/or that they had complied with the directions of the Doctor.”
Why Wasn’t the Pregnancy Terminated?
Another key point: if the pregnancy was unwanted, why wasn’t it terminated?
The couple argued that the wife was too weak to undergo a medical termination of pregnancy (MTP). But the High Court noted there was no medical evidence submitted to prove she was unfit for abortion.
“Even XXX(name hidden) never attempted to get the pregnancy removed,” the judge observed.
Doctor Had Performed Thousands of Surgeries
The court also pointed out that the doctor, Dr. R.C. Goel, had performed thousands of such procedures without issue. The couple happened to be among the very few where failure occurred.
Justice Gupta concluded that just because the operation failed, it doesn’t automatically imply negligence, especially when proper instructions and disclaimers were given before the surgery.
Verdict: Compensation Reversed
As a result, the High Court set aside the ₹1 lakh compensation granted by the trial court, ruling that the couple’s claims of negligence were not supported by evidence.
Conclusion: Rare Failure Doesn’t Mean Medical Fault
This ruling is a reminder that sterilisation procedures, like vasectomy, have a small, but real failure rate. Failure alone doesn’t prove negligence. Patients also carry a responsibility to follow medical advice post-procedure and provide evidence if claiming otherwise.
The court held that rare medical failures, without proof of doctor error or patient compliance, do not equal medical negligence.
No medical procedure is 100% failproof. vasectomy has a rare failure rate, and patients must follow all post-op instructions for best outcomes...
Dr Darshit Patel, MD Tweet
Inputs from various media Resources

Dane
I am an MBBS graduate and a dedicated medical writer with a strong passion for deep research and psychology. I enjoy breaking down complex medical topics into engaging, easy-to-understand content, aiming to educate and inspire readers by exploring the fascinating connection between health, science, and the human mind.