When I was married, during my third pregnancy, my husband had one. My third son, is his fourth son and he's now in his early 50's, meaning he was in his early to mid forties when he had the surgery.
It was because of many things, long talked about, mutually consenting. I was honest that I believed my having surgery would bring me serious emotional distress, why risk going there. He was done, we weren't having more children . Our primary doctor said that was a very European decision to be made.
It was a day surgery. He would recommend it, has recommended it.
To be told you must, with reasons described doesn't seem like a surgery to live with.