

Your heart is in the right place, but that’s not exactly a reasonable comparison. Few other surgeries, even elective ones, permanently remove your ability to do something as major as procreation.
People should have the option to have their tubes tied without judgement, but it is not as simple a decision as repairing a damaged part of the body.
That’s the problem with the fediverse in general. It’s a lovely concept, but it’s hard to sell people on something that has 10% (if we’re being generous) of the content they’re used to.