For the surgery we use a combination of general anesthesia and a long acting local anesthesia. Most patients wake up without pain. The local will last 12 to 24 hours. On the average patients take pain meds for 3 or 4 days and then are off them. Taking the pain pills and resting patients will experience a pain of 3-4 on a scale of 0-10. 50% of patients never take a pain pill. 10% of patients need pain meds for a week or more. By 6 weeks most patients feel like nothing ever happened.