Q:Does it hurt?
A:Nope. There is almost no pain at all; the worst pain of my surgery was when they put in the IV needle for anesthesia. The procedure itself is done under general anesthesia augmented by local anesthesia in the penis. Following that you will be given a narcotic pain management medicine (mine was Vicodin), and as long as you actually take it, not only will you feel no pain during and immediately after the operation, you will feel no pain during recovery. Take your meds, though, for that first week following. I left mine at home and went to work thinking I could get by on Tylenol and Ibuprofen, and had to be driven back by my wife. So, to summarize: The operation will not hurt at all, and as long as you take the pain medication given to you by your doctor, recovery will not hurt either.
Q:How much will it cost to get circumcised?
A:In the USA, the cost of an adult circumcision is entirely dependent on the amount and quality of your medical insurance coverage. To get your personal cost, please call your insurance company. That said, I can at least provide a range of cost: Your circumcision will cost between $300 and $1500 dollars. The $300 is a lower bound, which is what I paid in total (including copays and deductible) for mine, with the best medical coverage my employer has to offer. The $1500 is an upper bound, from a man recently circumcised in the USA who had no medical insurance at all. Your cost will probably be somewhere in-between.
Q:Should I get a low or high circumcision?
A:This is really dependent on whether your foreskin is oversensitive. A low cut means that all of the foreskin will be removed, but none of the shaft skin, while a high cut means that the inner foreskin will be retained but an equivalent amount of shaft skin will be removed. High cuts are a way to get circumcised while minimizing the sensitivity lost due to the removal of the foreskin itself, by not removing all of it. My circumcision was a low cut, and I am fully satisfied with the results. If you have difficulty reaching orgasm while uncircumcised, however, you may wish to request your urologist perform a high cut.
Q:Should I keep my frenulum?
A:To some extent this is a cosmetic choice, but I after having mine removed four and a half years after my circumcision, I have to recommend it. It feels better, more "free". My flaccid length is slightly longer and my glans extends further now that it doesn't have that minor tendon pulling it back to the shaft. Since aesthetics are a significant factor for many men, I say go with whatever you want if it matters to you. If you don't have a strong preference to remove or keep the frenulum, though, I suggest telling your urologist that you want it gone.