After determining you are a good candidate for gynecomastia treatment, surgery is performed while you are awake here in our procedure room. We administer an oral sedative to help you relax throughout the surgery. The numbing process is more comfortable using PRO-NOX, commonly known as laughing gas. After a short duration, Dr. Pearce performs liposuction and gland excision while you remain awake and comfortable. Patients must have someone available to drive them home safely after the procedure.