I was a little surprised to see not one but two huge fans. Reviewers have mentioned hearing no fan noise, but maybe they crank up a little if you really push the GPU + CPU with a 3D game.
Not only are they quiet, but the EarPods (built in headphones) do active noise cancellation against them for the person wearing the Vision Pro.
The main caveat to active noise cancellation is that you cannot construct a destructive interference pattern that cancels the noise everywhere. Creating destructive interference to cancel out the noise at your ears will unavoidably mean creating constructive interference somewhere else.
I suspect that makes the problem constrained enough that it becomes possible.
If you're designing for a specific airflow target, making the fans larger lets you make them quieter because they can spin slower than smaller fans while displacing the same amount of air.