At Moorgate Andrology we carry out all penis enlargement surgery procedures under general anaesthetic. This is because we want our patients to have a comfortable experience and not feel any discomfort during the procedure. When the procedure is performed under general anaesthesia you will not feel any pain at all. Of course, the procedure can be carried out under local anaesthetic or sedation, but it must be remembered that the procedure could be very painful under these conditions. Liposuction must be performed to remove the fat from the abdomen and inner thighs for girth enhancement and the ligamentolysis is a deep structure attached to the pubic bone. If you are concerned about any aspect of the anaesthesia used, then you should discuss this with the Urologist at your consultation. Your suitability for general anaesthesia will be checked as part of your assessment for penile augmentation surgery.