Dear Editor,rnMicrosurgical vasovasostomy,most commonly performed for vasectomy reversal,remains the most successful procedure for restoring patency to the vas deferens with the return of sperm to the ejaculate.Although the excellent results depend on the surgeon's skill and technique,optimal vision and ergonomics are also crucial factors contributing to the achievement of good results during male infertility microsurgery.Recently,the use of a new revolutionary technology,called three-dimensional(3D)digital image microscope with a video-assisted telescope operating monitor,may fill the gap between the need for good surgical vision and maintenance of a comfortable posture during surgery and may improve surgeon comfort.We present the first case report of vasovasostomy performed using the 3D digital image microscope system and discuss advantages and disadvantages compared with the use of an operating microscope.