Background: The use of the microsurgical vasovasostomy technique allows for greater precision and the use of extra-fine sutures, resulting in improved outcomes for vasectomy reversal procedures. The challenging nature of these microsurgical procedures has led to the investigation of robotic-assisted microsurgical vasovasostomy for decreased hand tremor and increased dexterity and hand-eye coordination. To date, no research has investigated vasovasostomy using the Symani Surgical System, a robotic device approved by the US Food and Drug Administration (FDA) for microsurgical procedures. This study investigated the feasibility of using the Symani Surgical System to perform vasovasostomy for vasectomy reversal. Methods: In this prospective, controlled study, three surgeons performed vasovasostomy anastomoses on sections of Results: Three surgeons performed a total of 9 Conclusions: This study demonstrates that vasovasostomy can be successfully performed using the Symani surgical platform, with patency outcomes comparable to manual microsurgery as measured by measurement of anastomotic leaks, as well as technical advantages such as improved instrument stability as measured by number of suture breaks. Further research on the use of this surgical platform for vasovasostomy is warranted.