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I had to have a D&C twiceTwice-a-day, after an IUD pregnancy and after an ectopicEctopic pregnancy pregnancy. Both times it was done with local anesthesia only. I believe if your doctor works in a hospital setting, they may prefer to do it under general anesthesia for their own sake. Mine were done in Ob/gyn offices though where general anesthesia is not an option anyway. See what they have to say. And check your pain tolerance, too. It is not a piece of cake...