Perhaps rolling a truck is just easier...
Ack in advance, YMMV.
In our case, a technician showed up, strung the fiber from the pole (to the next pole, to the next pole, through about 100m of thick forest) to the house, and left. I blinked, so I missed him. I doubt it took him much more than an hour or so.
The next technician showed up to screw a few little boxes to the panel. But that'd be the case with any technology.
It really didn't seem like that much of a deal.
When we had crappy 1.4Mbps ADSL, the technicians spent DAYS trying to get noise off the copper twisted pair. DAYS!!