That strongly depends on the job. If the company has to follow regulations to meet some security posture, wiping the OS (and all the security tools and configuration set up by IT) to put your own favored OS without matching the security requirements could wind up with you getting fired.
If the pig option included immune suppression drugs for the rest of your life, or for like 10 years until it wore out and you had to have another major surgery to replace it, mechanical valve plus blood thinners and a yearly blood draw sounds like the much better deal. I know blood thinners come with their own long term effects, but nothing compared to immune suppression.