OBJECTIVE • To determine trends in male reproductive surgeries. MATERIALS AND METHODS • A database analysis was performed using the Healthcare Cost and Utilization Project databases from 1988, 1992 and 1998-2002. SAS statistical software was used to estimate the total numbers of reproductive surgeries and their variances for each year. RESULTS • The number of male reproductive surgeries has declined during the period of study, both in the inpatient and outpatient arenas. The number of procedures with a diagnosis of infertility has also declined. CONCLUSION • The number of male reproductive surgeries has declined from 1988 to. © 2010 BJU International.