Hello, thanks for using health care magic. Varicocele is an enlargement of veins in the scrotum. It presents with varying discomfort at the testicles and may increase to become palpable. The two dreaded complications of varicocele are infertility and atro- phy of the testes. But then not all varicoceles can lead to complications Varicocele is known to decrease sperm count and the quality of sperms thus contributing to infertility. However, varicocele repair is indicated when there is progressive atrophy of testes and or abnormal semen analysis results and or uncontrollable pain. The absence of these does not warrant surgical treatment as varicocele is a common finding. The doctors have probably concluded that your infertility is related to the varicocele which ofcourse is an indication for surgery. Surgery is needed as a corrective procedure has to be done on the dilated veins that result in poor semen qualities that is causiing you the infertility. You should consider having the surgery done by an experienced urologist. Best regards and hope this helps you. Dr Achuo