I had 4 wisdom teeth removed, and chose only local anaesthetic. It was slightly difficult because I am 32 yrs old, so my teeth had deep, large roots, and one tooth straddled a nerve. Dr. J explained everything beforehand and he was absolutely correct about the procedure (uncomfortable but not painful), pain (minor aches first day, then none), recovery time, etc. I followed his instructions and had no swelling. I was worried because I had some numbness (from the straddled nerve) for a week after the surgery but Dr. J reassured me this was common, and it went away exactly as he predicted. Billing and payment was straightforward and the front desk always answered my questions and calls. I was dreading the procedure, but the whole experience went smoothly and was much easier than expected.