OK, since this thread is on another tangent:
In 1971 the rules in Virginia on getting it done were stricter, so, after a couple required meetings between the doctor, my wife and me the day came. I go to the office (not a hospital, or surgery room) and get my clothes off. The super-model nurse comes in to shave me. Warm shaving cream, manipulating, washing, drying - there's only so many bad things you can think of during that.
So, the doctor comes in with what I called "school scissors", needle and thread, and a needle. I'm armed with a mirror I brought. He tells me I won't feel the cuts but one or both sides may feel like getting kicked. First side, felt nothing, he found the tube, made a loop tied string around the bottom of the loop, and cut the loop. So, the tube was no longer connected but the two free ends were tied. Second side, the procedure was the same, but I swear he ripped my throat out through my sack! Then he lashed the cuts back together (no fine needle work).
The best part was when the doctor and I went to the waiting room. He told my wife that I had to come back in 30 days with a fresh sample to be checked and that she needed to ensure that it was at least the 30th time she had helped me produce one. She was horrified but "the doctor said".