You also can't just go into a store and walk out with a gun without the government saying okay with the background check.

Of course, you don't have to justify why you need the gun to get one, but a doctor (especially in some places in the US) will certainly require justification. And in some places a man's permission (although maybe not explicitly, but way less likely to do so unless a man is present at the appointment I wish I were joking) .

Legit my wifes' gyno wouldn't sign off on her getting a hysterectomy without me saying I'm okay with it.

She found a new gyno. Fuck that guy.