Hi, Thanks for writing to HCM . Varicocele is not a proved factor in infertility. But those having low sperm count with varicocele then its surgery helps in improving sperm count. There are many ways to get surgery done. Like open varicocelectomy or laparoscopic or laser. All have shown same result . But in laser scar will be less but it will be more costly. One thing you should remember is after surgery chances of recurrence will be there and also fluid may collect in scrotum which is called hydrocele. So you can choose depending upon your needs. Hope I have been helpful . Regards Dr.Deepika Patil