The most common birth control used today in the states is the birth control pill. It was developed in the 60âs and is widely used just because of its easy reversibility. The only thing that a woman needs to do to get off the birth control is stop taking the pills. The biggest difference between birth control pill and a vasectomy procedure is that the vasectomy is harder to reverse. It is not impossible, thanks to the advances made in microsurgery, but is way more difficult than just getting off the pill. Birth control pills are cheap, fast and an easily reversible substitute for a vasectomy.