There is only one type of anesthesia that we deem appropriate for use in a buttock augmentation procedure. Before we talk about this type of anesthesia, you need to understand what this procedure is about and how long it takes. When fat is harvested for buttock augmentation, liposuction is performed in the more corpulent parts of the body such as the abdomen, flanks, the sides, upper and lower back, and the thighs. Typically, we need to inject an average of 800 cc to 1000 cc of fat in each buttock, which can take from about 3 to 4 hours. Because the procedure is quite long, we prefer to use general anesthetic. Under general anesthetics, you will be completely asleep, which allows the surgeon to properly sculpt and shape your butt in accordance to your desires and expectations. When liposuction is performed and the fat is removed, tumescent anesthesia is injected. This anesthesia also helps to control the pain and anesthetics requirements. If you undergo these procedures without general anesthetic, it will be extremely uncomfortable and awfully painful for you. You can certainly do liposuction under general anesthetics. Indeed, there are various differing opinions about the best type of anesthesia. The weakness in tumescent anesthesia is that it contains lidocaine, and the amount of lidocaine that will be required to numb all these areas will be above the maximum recommended, which can cause toxicity and death. On the other hand, general anesthetic provides a more controlled environment, so when you are placed on your abdomen and liposuction is performed on your back, the airway is secure. This can greatly prevent serious consequences during surgery. In my practice, I believe that general anesthesia is the only and best option for a successful surgery that can give you the best and optimal results with absolutely no pain during the procedure.