What does a mole removal procedure entail?

I have a mole on the inside part of my toe. My dermatologist examined it and referred me to a plastic surgeon since he said a specialist surgeon would need to remove it and I would likely have stitches and be in a splint for several weeks after removal. My question is -- what does this procedure most likely entail? Will I have local anesthetics or IV sedation? How does this usually work?