It's not that tough of a procedure. I literally slept through mine. No swelling, no pain, no bruising. I went to a good urologist in Bellevue. No way was I going to put my boys in the hands of a quack like my cousins over in eastern Washington did. Both had complications, terrible swelling, bleeding, pain, etc. I told them they should have gone to a real doctor instead of the combination "John Deere tractor repair/video rental/vasectomy clinic".