It was in the news the other day. Kansas tried to ban it, but it has staunch defenders. Here's one version of the story (I tried to find one that seemed reasonably reported).
Kansas judge blocks ban on so-called 'dismemberment abortion' procedure | US news | The Guardian
Think about it. Dismemberment. Carving the developing baby up and bringing it out in pieces. I honestly don't understand how
anyone's fine with it.
Yup. The alternatives lead to a number of complications, and a lot of these women are getting abortions due to defects, fetal death, and pregnancy complications. Leaving it there simply leads to complications or death. Using some other method is not a good option. Dismemberment is necessary to do the least amount of trauma to the woman's body, which in many cases is already under distress. Doing other methods would amount to human experimentation, as the article says, because they are either untested or outrightly unsafe.
Only a very small percentage of women abort in the second trimester to begin with. There's a reason they're doing it that late, and usually those reasons are quite horrendous and sad.
Many of these get counted as "elective," because the woman technically has other options, such has birthing a mortally defective baby, or just hoping her body can take care of it on its own without developing sepsis. But I would argue forcing women to take one of those "choices" is fairly close to torture.
There are some other cases I've known of -- equally horrendous and sad -- where it has something to do with mental health. A woman develops an extreme psychiatric disorder due to pregnancy or rape and the medications prove too much for the fetus. Or a woman I knew who was being basically held captive in her house by her absuive partner and beaten, and that's simply how long it took her to escape for the abortion. Or teenagers who have to battle in court for their abortions, forcing them to delay it. Or any number of other things. Quite frankly, I am not wiling to destroy these women's minds and lives over someone's distaste for the method of the procedure.
I do not see a meaningful difference between vacuum aspiration, which ultimately results in a dismembered embryo on the other end, lethal tampering with a pregnancy that still kills the fetus, and dismemberment of a fetus. The pregnancy ends either way, and in many cases it doesn't end with an entact embryo/fetus. Is it just the image that's getting to you? I can understand that. It's unpleasant.
But your gore squick is not a good enough reason to deny women valid and necessary healthcare choices. Lots of things in medicine are gory.