I appreciate your question and understand your concern. Many people have concerns about the type of anesthesia that will be used during their fat transfer surgery, this is quite common. Depending on the size of the procedure, if it's a small area of the body we're targeting, yes local anesthesia could be used. For fat transfers involving larger areas of the body, I use a gentler type of anesthesia called TIVA (total intravenous anesthesia). Using only IV medications, you will be asleep and comfortable during your procedure, but breathing on your own. This speeds up the recovery process for our patients so much that we started calling this method "Rapid Recovery™" The advantages to Rapid Recovery™ is that TIVA medications wear off quickly and they are eliminated from your body within hours of surgery. This results in a shorter time in the recovery room, as well as a smoother experience overall. TIVA also has an anti-nausea effect, meaning you won't have that "run over by a truck" feeling after your surgery. Most of our patients are up walking around after their procedure and feel good enough to go out to dinner the next night. The best way to assess and give true advice about which form of anesthesia would be best for your surgery would be an in-person exam. Please see your board-certified plastic surgeon. Best of luck! Dr. Schwartz Board Certified Plastic Surgeon #RealSelf100Surgeon #RealSelfCORESurgeon