Local anesthesia for surgical procedures is not always the best choice. Often times the operating physician is giving sedation medication and using local anesthesia without an Anesthesiologist in order to save money. I think it is much safer to use an Anesthesiologist to give the patient the proper level of comfort during the procedure, as well as to monitor their level of consciousness. If you are feeling pain during the procedure the physician will often stop short of getting you a successful result. A few hundred dollars more for a Board Certified Anesthesiologist is definitely worth the safety and success of a several thousand dollar procedure.
Check out what MSNBC has discovered on the topic:
http://on.msnbc.com/awakesurgery
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