Don't worry about that. They are very careful with it. When I had mine out I was totally awake 40 minutes later...could read the clock in the recovery room at that point. They can give you valium or something beforehand to calm you if you ask. Be sure when you go for the pre-op to talk with them about it if you are really that concerned. They have different options and you need to underdtand them all. And no, you would not want a local for this procedure! That would be worse....I promise! Yuck!