An apple watch will intentionally brick itself (to preserve battery life, honest) after 8 years.
If something is broken, sure. It might need replacing. But that's rarer, I think, than people realize, and rarely is it more than one or two parts of the movement.
I recently repaired my great-grandfather's pocket watch and the only replacement necessary was the mainspring.
Heh I feel bad when I'm 10 min late to a call, but if I had your watch I'd be 20 min late!
If I need the precise time, I can pull out my phone or just ask another human who nearly because they will surely have a phone :)
(Note to non-watch enthusiasts: we are talking about the tolerances on very old watches; a modern $100 mechanical is usually accurate to within 5-10 seconds a day)