 Microsurgical subinguinal varicoselectomy with interoperative endocyanine green angiography, ICGA, is a safe and effective treatment for varicoseals related to male infertility and scrotal pain, as it allows for the visualization and identification of testicular arteries during surgery. This article was authored by Yasuhiro Shibata, Setakuri Hora, Seiji Arai, and others.