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I think they mean because he's so young, most reputable surgeons will not perform that procedure (the theory being they will probably change their mind) on a very young adult. One who is willing to do so might not be the most trustworthy physician.
Anyway, there is a more important aspect: condoms protect you from AIDS. A vasectomy does not.
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A word to the wise ain't necessary - it's the stupid ones who need the advice.
--Bill Cosby
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