Most patients ask “Will I be asleep?” The honest answer is: usually yes - but how, and how deeply, varies.
The Main Options
Regional anesthesia (popliteal or ankle block). The anesthesiologist numbs the nerves to the foot and ankle. This is then combined with sedation (so you’re comfortable but not fully asleep) or with general anesthesia.
General anesthesia. You’re fully asleep, with a breathing tube or LMA. Used for longer cases, anxious patients, or specific medical reasons.
MAC (monitored anesthesia care). Heavy sedation with a regional block. You won’t remember the procedure but won’t have a breathing tube.
Local anesthesia only. For some smaller in-office procedures (toenail surgery, simple excisions).
Why Regional Blocks Are Often Excellent
A popliteal nerve block keeps the foot numb for many hours after surgery - patients often have very little pain through the first night. Less narcotic, less nausea, smoother early recovery.
How We Decide
Anesthesia preference is a conversation between you, me, and the anesthesia team. We consider the procedure, your medical history, your anxiety level, and your prior anesthesia experiences. There’s almost always a good option.
