Idk about nowadays but I think childfree (or related sub) on the other site had a list of known good doctors who’d do vasectomies and tubal ligations without the whole bs about but you might want kids (or more kids) later/let’s ask your husband bullshittery.
Because launching a rocket isn’t without consequence. Shouldn’t just launch willy nilly every day because you have it, there are other factors (environment, structural damage, etc)to consider which he does not care about.