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You start with an appointment to talk it over with the doctor then you come back again. It takes around 20 minutes. The worst part is the shot for pain. They give it to you on the first side and do their work then do the other side. You have a little time to think how bad it was before you get the second one. They want you to wear underwear that supports your goods till you recover. I don't remember much if any pain after. I don't think I had any volume decrease.