I recently had one removed, they literally just cut it off with a pair of scissors. Of course, they cleaned the area. It just stung a little. I was told by the nurse, they can numb them prior to cutting it. If mine was any larger, she said they would have numbed the area. Some people can take the sting and do not get the numbing to the area done. All in all it is just extra skin. If they are small enough to cut off, just make sure you use surgical scissors and make sure the area is clean., Then, stick a bandaid over it. Mine was under my double d breast! OOOOOOUCH!