Lee Ann Roripaugh called American Busboy a "wry anti-mythology" where an "anti-hero busboy in an anonymous Clam Shack tangles with the monotonous delirium of work, the indignities and poor pay of unskilled labor and] the capricious deus ex machina of mean-spirited middle management." We might call Vasectomania the busboy fast-forwarded 20 years, a little bit wiser and tangling now with the monotonous delirium of parenting, tangling with the indignities of flailing (and often failing) as a father and partner and dealing with his own social-cultural traditions of being raised in a blue-collar town by a single mother whose voice seems to haunt his every move.