Changes

Adolescent and adult circumcision are usually carried out under total anesthesia, either by local or regional nerve block or by general anesthesia, <ref>{{REFjournal |last=Holman |init= |first=John R. |author-link= |last2=Stuessi |init2= |first2=Keith A. |author2-link= |etal=no |title=Adult circumcision |trans-title= |language=English |journal=American Family Physician |location= |date=1999-03-15 |volume=59 |issue=6 |pages=1514-8 |url=https://www.aafp.org/afp/1999/0315/p1514.html |archived= |quote= |pubmedID=10193593 |pubmedCID= |DOI= |accessdate=2020-11-19}}</ref> so the pain of the surgery is not usually a concern. That does not mean that the operation is pain free. It is not.