Due to primary testicular failure, it is a new surgical technique for the retrieval of sperms in Azoospermia. Under anaesthesia, this procedure is done. However this procedure is least preferred in view of complications and being very invasive in nature. TESA being the simplest and most effective technique is practised widely. Our Doctor Dr Arun muthuvel is an expert in TESA, TESE and Micro TESE