Gaby - I totally agree with you that Alex has some big big issues when it comes to his utter lack of respct for women. But there have been cases where he's treated male patients like crap with horrible bedside manner too, as well as patients who were kids. Based on that, I think that if the shoe was on the other foot, and he was faced with a man asking for a vasectomy without telling his wife, Alex would have the same reaction. He's one of those doctors who views medicine purely from a textbook, lab sort of standpoint, with no appreciation for the fact that he's working with PEOPLE.
The only thing that bothered me about the vet was that they seemed to be making him WAY too much like Derek.

