ICSI procedure involves a single sperm carefully injected into the center of an egg using a microneedle. The availability of this Intra-Cytoplasmic Sperm Injection, "ICSI" technique which was developed and performed by Brussels University is available for past 15 years in our centre. The fertilization rate per egg using ICSI is about 70% despite the sperm being terrible. The fertilization rate per infertile couple is over 80 %. If the wife has adequate eggs, and the pregnancy rate per treatment cycle is over 50%. Total cumulative pergenancyfor 5 cycles is 70% to 80%.