Reply #32: My OB does them in his office and ostensibly uses anesthetic.

[Crunchy Frog]

I was in that office ALOT (having a high risk twin pregnancy) and was around for some of them. I even got to hear one taking place while I was waiting in an exam room. There was definitely extreme pain involved.

Clearly there are plenty of doctors who do not use anesthetic effectively.

Also, there is ripping involved, aka "lysing of adhesions". The foreskin and glans are normally tightly fused at birth and it is necessary to insert a blunt probe to tear the tissues apart. That is why the newly circed glans generally looks like a bloody piece of raw liver. Anybody with a strong enough stomach can see this being done in online videos.