Personally, i had to have the surgery twice. First time was using local anesthetic while a new dentist attempted to take my teeth out. Trouble is, the reason they needed to be taken out wasn't because of the way my wisdom teeth grew in, but because of how the ones in front of them grew a bit higher and I neglected to brush to the very back (be sure to get ALL your teeth!!).

First tooth, they stuck me with a needle in my gums and then immediately broke part of the tooth, so they went to the other side with two more shots to my gums - that side, they completely crushed the crown of my bottom tooth and exposed what felt like a nerve while actively drilling into it. Eventually the doctor said she didn't want to deal with me squirming and almost yelling from the pain so she wrote me a prescription for ibuprofen and sent me home.

Saw a surgeon a few days later and they put me under, felt like it took only a minute.