TIFU by not being more assertive with my doctor.

Yesterday, I (32M) had a vasectomy scheduled. Before the doctor started with the procedure, I let him know that I have an extremely high tolerance to pretty much all anesthetics, using my last tooth filling as an example. They had to use so much lidocaine that it paralyzed my face for a while (which they didn't tell me was a possibility so I thought I was having a stroke).

Besides the tooth pulling, I've felt several other procedures like ingrown toenail removals, and woken up during procedures like colonoscopies.

So, the urologist gives me about 6 shots with his air syringe, waits maybe 30 seconds, then asks if I can feel him poking around on my scrotum. I confirm that I can. He gives me 3 more shots, waits another 30 seconds, then says, "can you feel this?" and makes the incision.

Yes, I absolutely could feel it, and I told him so. He asks if I could feel the pressure, or sharpness, and I confirm that I can definitely feel the sharpness, and that I don't feel any numbing sensation at all.

So, I get a few more shots, another 30 second wait, then he just starts up again. At this point, I can still feel everything he's doing, but I figure I have a high pain tolerance, so I'll just power through it like I have in the past when numbing agents didn't work.

Turns out this procedure is a bit more intense than a high pain tolerance can protect against. He finishes the left side, and at this point I'm close to hyperventilating and on the verge of vomiting. There's the deep pain in my stomach that I know he can't do anything about, but I can still feel everything that's happening down below.

He gives me about 60 seconds to catch my breath, then asks if I can feel the right side. I say I can still feel everything, and hear the PA say he has another syringe loaded with numbing agent, but the urologist just goes ahead with the right one.

The right one was a little less rough, and I didn't almost vomit, but I think he worked a bit more quickly on it. He finishes up, says I did great, then leaves (his general demeanor, I had only ever spoken to him for 30 seconds at this point). His PA says, "Well, those don't usually go like that, but you did great."

The nurse aid was really nice and gave me a lollipop while I was paying and we had a laugh about it.

To the surgeon's credit, I've been essentially pain free since I walked out the door, and the whole procedure only took about 10 minutes.

TL;DR - I didn't stop my doctor to tell him I needed more numbing agent, and I felt my whole vasectomy. It was easily the worst pain I've felt in my life