The goal of this clinical trial is to learn if a virtual reality (VR) program (TRIPP) can reduce pain, anxiety, and distress in adult men (aged 18+) undergoing a vasectomy under local anesthesia. The main questions it aims to answer are:

• Does using VR during a vasectomy lower patients' pain during the procedure compared to standard care?
• Does VR reduce anxiety and distress compared to standard care?
• Are patients more satisfied with their experience when using VR compared to standard care?

Researchers will compare two groups:

• VR group: Patients will use a VR headset with a guided meditation program (TRIPP) during their vasectomy.
• Control group: Patients will receive standard care (no VR).

Participants will:

• Be randomly assigned to either the VR group or control group.
• Complete brief questionnaires before, during, and after the procedure (about 15-20 minutes each time).
• (VR group only) Use a VR headset during the procedure and provide optional feedback about the experience.

Why is this important? Vasectomies are typically done with local anesthesia (pain relief), but many patients still feel anxiety or discomfort. VR may help distract and relax patients, improving their experience. This study will help health professionals understand if VR could be a useful option for future patients.

Inclusion Criteria:

• 18 years of age or older.
• Can speak and read English.
• Have elected for a vasectomy.
• Are scheduled to undergo their vasectomy under local anesthesia at the Men's Health Clinic

Exclusion Criteria:

• Those who are not competent to provide informed consent (e.g., due to cognitive impairment).
• Those who are unable to participate in a VR intervention (e.g., due to visual or auditory impairment).

Study data and information from the study will not be sent outside of the University of Manitoba. Records containing health related information will be treated as confidential in accordance with Personal Health Information Act of Manitoba (PHIA). Information gathered in this research study may be published or presented in public forums, however names and other identifying personal information will not be revealed. Data will be coded and names will not be released.