Today we’d like to introduce you to Esgar Guarin.
Hi Esgar, can you start by introducing yourself? We’d love to learn more about how you got to where you are today?
I didn’t set out to become a “vasectomy surgeon.”
I trained as a Family Medicine physician because I believed in comprehensive, community-based care. After medical school in Colombia and residency in Baltimore, I completed a fellowship in Maternal and Child Health and earned a Master of Public Health. My early work focused on women’s health, reproductive health, and systems-level improvement. I was deeply committed to equity — especially in contraception.
But over time, something became very clear to me: almost all of the responsibility for contraception still falls on women.
That realization changed my trajectory.
About thirteen years ago, I began providing vasectomy services more consistently. What started as one small part of my practice gradually became a calling. I saw that vasectomy wasn’t just a minor office procedure — it was a powerful act of shared responsibility. It was men stepping forward. It was partnership. It was love expressed in action.
Six years ago, I made what many colleagues considered a risky decision: I dedicated my practice exclusively to vasectomy.
That meant narrowing my scope instead of expanding it. It meant building a brand around a single procedure. It meant explaining — over and over — why this work mattered.
I founded SimpleVas with a clear vision: create a high-quality, patient-centered experience focused entirely on vasectomy care. We optimized everything — scheduling, counseling, technique, recovery protocols, follow-up systems. We invested in education and transparency. We treated this “small procedure” with the seriousness and dignity it deserves.
In 2020, in the middle of a global pandemic, I launched the first Mobile Vasectomy Clinic in the United States. While many services were shutting down, we were bringing care directly to communities. That moment reinforced something important: innovation happens when you stop accepting the way things have always been done.
Today, SimpleVas serves hundreds of patients every year across multiple locations. Over the past three years alone, I’ve performed more than 2,500 vasectomies without a single major complication requiring hospital admission. But what I’m most proud of isn’t volume — it’s culture. We’ve helped normalize male participation in contraception in a way that feels empowering, respectful, and evidence-based.
Alongside my clinical work, I serve as Chair of the Board of Directors of World Vasectomy Day, a nonprofit organization that trains physicians and expands access to vasectomy globally. That role connects my entrepreneurial work with a broader mission: improving reproductive equity worldwide.
Looking back, my journey has been less about performing a procedure and more about finding alignment between skill and purpose.
I chose depth over breadth.
Focus over fragmentation.
Mission over comfort.
And in doing so, I built not just a practice — but a platform for change.
Would you say it’s been a smooth road, and if not what are some of the biggest challenges you’ve faced along the way?
It has absolutely not been a smooth road.
When you decide to build something highly specialized — especially in healthcare — you step outside the traditional path. Most physicians are trained to expand their scope, add services, and build broadly. I did the opposite. I narrowed my focus to one procedure and built an entire practice around it. That raised eyebrows.
Early on, there was skepticism. Some colleagues didn’t understand why I would “limit” myself. Others viewed vasectomy as a minor side service, not something worthy of a dedicated practice model. Insurance credentialing was complicated. Hospital privileges were confusing to navigate for an outpatient-only procedure. Even explaining what we were building required persistence.
Entrepreneurially, it was also challenging. When you create a niche practice, you don’t have a template to follow. There was no roadmap for a vasectomy-only clinic, and certainly none for a mobile vasectomy clinic. Every system — scheduling, sterilization workflows, complication tracking, patient education, marketing — had to be built intentionally.
Then 2020 arrived.
Launching the first Mobile Vasectomy Clinic in the United States in the middle of a global pandemic was both terrifying and clarifying. Elective procedures were being paused. Uncertainty was everywhere. But at the same time, the need for reproductive autonomy didn’t disappear. That moment forced me to decide: was this just a business, or was it a mission?
We chose to treat it as a mission.
There were financial risks. There were months of stress. There were nights of questioning whether narrowing my practice had been too bold a move. Building something different requires a tolerance for uncertainty — and medicine doesn’t train you for that.
On a deeper level, one of the ongoing struggles has been cultural. We are trying to normalize male participation in contraception in a society where the default expectation is that women carry that responsibility. That requires education, patience, and constant communication. Changing perception is slower than performing surgery.
But every challenge forced refinement.
The skepticism strengthened the data.
The obstacles strengthened the systems.
The uncertainty strengthened the mission.
Looking back, I realize that it wasn’t smooth — but it was purposeful. And every struggle clarified why this work matters.
Appreciate you sharing that. What should we know about SimpleVas PC?
SimpleVas is a highly specialized medical practice dedicated exclusively to vasectomy care.
That focus is intentional.
In healthcare, it’s common to offer vasectomy as a small part of a broader practice. We chose a different path. We built an entire clinical model around one procedure — and then optimized every element of it. From consultation to follow-up, everything we do is designed around safety, efficiency, comfort, and education.
We specialize in no-scalpel vasectomy, a minimally invasive technique performed under local anesthesia in an office setting. Because this is all we do, we’ve been able to refine our systems in ways that are difficult in more generalized practices. Our scheduling is streamlined. Our counseling is thorough and transparent. Our complication tracking is rigorous. Our recovery protocols are standardized and evidence-based.
But what truly sets SimpleVas apart isn’t just technical precision — it’s culture.
We don’t treat vasectomy as a quick procedure squeezed between other appointments. We treat it as a meaningful decision in someone’s life. For many of our patients, this represents a turning point in their family planning journey. We take that seriously.
We are known for three things:
Clarity.
Precision.
Respect.
Clarity in education — patients understand exactly what to expect.
Precision in technique — thousands of procedures performed with an exceptional safety record.
Respect in communication — we normalize the conversation around male contraception without shame, pressure, or stigma.
Another defining feature of our brand is accessibility. In 2020, we launched the first Mobile Vasectomy Clinic in the United States, bringing high-quality care directly to communities. We also operate in multiple locations to reduce barriers for patients who may otherwise delay care due to distance or logistics.
Brand-wise, what I am most proud of is that SimpleVas has helped redefine the narrative around vasectomy. Instead of fear-based messaging, we focus on partnership. Instead of framing it as “the end,” we frame it as responsibility. Instead of awkwardness, we bring professionalism and calm.
We’ve also built a practice that demonstrates something broader: that specialization can improve quality. In the past three years alone, I have performed over 2,500 vasectomies without a single major complication requiring hospital admission. That consistency comes from focus.
What I want everyone to know is this:
Vasectomy is one of the safest, most effective forms of contraception available. It is simple. It is responsible. And when delivered with care and expertise, it can be a remarkably positive experience.
SimpleVas exists to make that experience excellent.
At its core, our brand is about elevating a small procedure into something meaningful — for families, for communities, and for the broader conversation about shared responsibility in reproductive health.
Let’s talk about our city – what do you love? What do you not love?
What I appreciate most about Kansas City is its diversity — not just in demographics, but in energy, identity, and opportunity.
Kansas City feels dynamic without feeling overwhelming. It has the cultural depth of a larger metropolitan area — incredible food, strong neighborhoods, professional communities, arts, sports — yet it still maintains accessibility and warmth. There’s room here for entrepreneurs. There’s room for innovation. There’s room for building something meaningful.
From a professional standpoint, I value the openness of the community. Patients are thoughtful, engaged, and increasingly interested in shared responsibility in family planning. That openness creates space for conversations that matter. Kansas City offers both diversity and possibility — and for someone building a specialized practice, that combination is powerful.
What do I like least? Honestly, very little.
If I had to choose something, it would be the commute. Traveling from Des Moines to serve patients here requires intention and planning, and of course I wouldn’t mind if the drive were shorter. But even that has become part of the rhythm of the work. It reinforces that what we’re building is worth showing up for.
In many ways, the fact that I’m willing to commute speaks to how much I value the opportunity Kansas City offers. It’s a city that welcomes growth — and that’s something I deeply appreciate.
Contact Info:
- Website: https://www.simplevas.com
- Instagram: https://www.instagram.com/drg_simplevas
- Facebook: https://www.facebook.com/drgsimplevas
- LinkedIn: https://www.linkedin.com/in/esgarguarin/
- Youtube: https://www.youtube.com/@drg_simplevas
