Speak for yourself. Out here in the sticks, if I want a small implant in, I can go to the one local piercer. But if I want a big one in, I have to drive down 400 mi to Helsinki - or wait for the body artist to come over here, which is what I’m doing now, and which is why my doNExT still isn’t implanted. As for taking either out, it’s a trip to the hospital.
Relocating to a place with 30 inhabitants per square mile has it’s advantages (one of them being that COVID-19 really hasn’t affected our daily lives at all here) but dealing with implant matters is definitely more complicated.