The need for sterilization really is going to depend on what you're doing with them. If you're cutting clothes away from a wound, no sterilization is needed as what you're cutting away is more dirty than a pair of scissors that's been in a drawer most likely. If you're removing bandages that have been exposed to air, the upper surface will have contamination so the act of cutting through them will introduce bacteria to the lower surface. Using utensils that have been washed would be sufficient. Cutting away bandages that have been covered can use scissors dipped in alcohol. You can even flame them and let them cool if you're worried about it.
As far as utensils for minor "surgery", I can understand wanting to autoclave them, but you may also want to just look into presterilized packaged floor trays. Have the instruments necessary to change dressings, remove sutures, suture wounds, etc. Same goes for syringes. You can get plenty of sterile syringes for livestock use and don't have to worry about cleaning.
For anything considered true surgery, you're going to need high quality surgical instruments as any imperfections to the surface can carry potential contamination, even after attempting sterilization. I echo the above comments that the instruments must be clean and free from grease before sterilization.
In summary, I'd divide out what my goals would be and would have general use tools that are clean but don't have to be sterile for non-sterile use. I'd have very clean or presterilized instruments for general surface use, and reserve very good instruments for emergency last resort use.
ETA: Wanted to add, sterilization, in the sense of killing microorganisms via pressure cooking is but one part. I wanted to again stress the need for tools to be clean. Dead bacteria can cause problems just as live bacteria can. Bacterial components can cause inflammation and set off immune responses. There have been various threads over the years I remember coming up where things like baking instruments in the oven to destroy contamination, etc., were discussed. But just because bacteria have been autoclaved and are unable to reproduce (dead) doesn't mean they're 100% clean.