I know a lot of men are reluctant to undergo a vasectomy, but I always say that it's a much easier procedure than a woman having her tubes tied. This is how I explain that:
When I was a med student on my surgery rotation, there was one urologist in our department who had actually performed his own vasectomy.
He apparently used local anesthesia and did the procedure with a colleague present in the room "just in case." There were no complications.
I dare you to find a female ob/gyn who tied her own tubes.