Dr. Chad Lewis, MD

Hello! Thank you for your question. I am assuming that you are referring to the removal of a polyp in the colon or rectum since you have directed your question to a colorectal surgeon. Most colon and rectal polyps are removed during a colonoscopy procedure, where a long, tube-like device with a light and a camera on the end is advanced from the anus to the first part of the colon, called the cecum while the patient is sedated. The scope has a working channel through which specialized instruments can be passed to perform biopsies and to remove polyps as the scope is withdrawn. None of these procedures are felt by the sedated patient during or after the procedure. If a particularly large polyp is found in the rectum, other approaches may be used at a later date in the operating room after a proper work-up has been done to ensure the polyp is not an advanced cancer. These various methods access the rectum through the anus while the patient is usually under general anesthesia. Fortunately, these approaches are also not painful during the procedure, but may produce some mild discomfort after the procedure depending on the size of the polyp and where in the rectum it is located. If you are planning to have a transanal polypectomy in the operating room, it is best you discuss the details with your surgeon ahead of time because he or she will best know the likely outcome in terms of postoperative discomfort. I hope this helps, and I wish you well on your upcoming procedure. Remember, nothing in this answer is meant to replace the advice of your physician nor should be considered medical advice. It is always best to talk with your doctor to get answers specific to your condition.