I just had mine today... Laughing my ass off right now and it hurts!!
I went to a guy over by the UW that has a nickname Dr. Snip. He uses a procedure with no needle, no knife, and no stitches. He numbed me up with something that felt like a rubber band snap to the nuts. One each side.... (I preferred that to a needle for sure) Pulls the tubes through a 1/8 inch snip in the center of the nut sack. The procedure took less than 10 minutes and I stood up and walked out the door.
Now I'm a bit tender, but it's not so bad. Mostly just playing it up so that I can relax for a couple of days.
The intake nurse that did the initial interview was hot.... When I saw her I told my wife to leave the office. I was hoping she was going to be the one to shave my nuts.... no such luck. She just showed me pics of the male anatomy and explained what it would feel like. How the hell could she possibly even know?
Anyway, I would recommend this doc to anyone.
Neal