My DH was told most men have it done under GA - for psychological reasons more than anything. He asked to have his done under a local, he had good anaesthetic coverage, no problems whatsoever. It's a fairly simple procedure, tbh I don't really understand why so many people think they need a GA for it.
An alternative would be to have it done with a twilight style anaesthetic where you're conscious but you don't remember a thing afterwards & the pain is controlled with a local. I had a piece of hip bone drilled out this way, apparently I talked all the way through it, I would love to know what I said because I have zero recollection.
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