"I'll pray for your cock." -The Indian guy from 40 Year Old Virgin
The worst thing about the surgery, (obviously besides the initial shot that hopefully won't go into your balls,) is the healing process. Just take the pain meds especially if they help with inflammation. But I found on the third day it was night and day improvement, and like I said, my surgery was pretty involved.
I had surgery under local anesthesia a few months ago. And I hope I can put your mind at ease, because it went very well.
Long story short, it was supposed to be general, but instead was done local. A vasectomy is significantly less invasive than my surgery.
The the only painful part was the shots to numb the area. Once the surgery started, I didn't feel pain, any kind of pressure, or weird feelings. I had no idea the surgeon started cutting. That's how effective the shots were. I was talking through the whole thing, and not concerned at all. I remember thinking during the procedure that I could do this again, no problem.
That's American AF.