Surgical procedures can be performed with local anesthesia, deep sedation in conjunction with local anesthetic or general anesthesia. Only minor procedures in the office setting are performed with local anesthesia alone. All major procedures are performed with deep sedation combined with local anesthesia or general anesthetic. We operate in accredited hospital surgery centers and utilize Board Certified Anesthesiologists to provide anesthesia. Your medical history will be well researched to assure that you are a candidate for safe outpatient anesthesia. You may be required to have blood tests, EKG or chest x-ray to assure you are being treated in the safest manner possible. In some cases, it may be necessary for you to spend the night at the hospital or with a nurse. Your safety and well being is our utmost concern.