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In a medical setting, a doctor will use a Kelly Hemostat to crush the flesh of the meatus until it is paper thin. This forces all of the blood out of the tissue, and completely numbs the nerves. The doctor will then use a pair of sterilized surgical scissors to cut the crushed skin. A patient is usually unconscious during this procedure.

Further, people in the Body Modification community will often follow the above method of performing the procedure, but other methods exist as well, such as numbing the flesh with topical ointments and simply cutting the flesh without crushing it then cauterizing both sides of the opening to stop the bleeding and prevent infection.

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