Indeed. Perhaps I shouldn’t get so teste about it.

Certainly, it’s implementable without the surgery, yes: but in ways which are – depending on what has been selected – some combination of: less-pleasurable, less-practical, less-safe, less-effective, or less-suitable for my partner.

I’m sure you can appreciate the laziness benefits, too, having switched between a variety of contraceptive methods over your life: something that you don’t have to remember to do every day, or every time you have sex, is a clear step up for convenience!