Blows my mind that vasectomies are the less common procedure. Got mine done cheaply many years ago. Super easy, barely an inconvenience.
Partner got tubes done recently (so that insurance couldn’t deny her for medically necessary hysterectomy later, what a dumb system we have) and she was miserably bedridden for quite a while, with the scars to prove it. Would have been expensive if she wasn’t maxed for out-of-pocket already.