This document discusses issues related to treating male infertility in the era of ICSI. It argues that while ICSI provides an effective technique for bypassing sperm dysfunction, solely relying on ICSI and not properly diagnosing and treating the underlying causes of infertility can amount to negligence. The document emphasizes that andrology inputs are still important to address general health issues, infections, obstructions, hypogonadism, and genetic factors that may be contributing to poor sperm production or quality. A complete diagnosis and treatment of the male is important even in the ICSI era to help address underlying pathology and implications for health and inheritance.