Dr. Reed, Can you do a sex change orchiectomy under local and will it be painful?
Yes most of our orchiectomies for gender confirmation surgery are done under local with IV sedation. You will be awake, but it will be like you had 3 martinis. First we apply numbing cream and wait about 15 minutes, then slowly inject local anesthesia numbing both the cords and incisional area, and wait another 15 minutes. I doubt you’ll feel anything. At this time we have done to close 2000 orchiectomies.
Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery – Miami