To add to the health requirements.... If you're getting a vasectomy, or getting prostate surgery to remove a benign growth, would you want a facility close to a hospital in case they sever a nerve? The nerves around that area, when cut & not repaired quickly, means bye-bye erection. You'd think it was important enough then, right? You'd probably want a general, too, which requires intubation, which is done at hospitals. Again, tons of people go through this for any number of conditions and for many reasons. This should be no different.