The Truth about Pain and Plastibell Circumcision: A Clinical Perspective

Plastibell circumcision is one of the most trusted and commonly performed methods for the circumcision infants and young boys. As a GP with advanced expertise in circumcision and tongue-tie procedures, I am committed to delivering professional care that prioritizes safety, comfort, and the well-being of every child.

Is Plastibell Circumcision Painful?

While the idea of circumcision pain can be anxiety-provoking for parents, modern techniques prioritize your child’s comfort at every step and studies show that topical and local anaesthetic provide adequate pain relief.

  • In my procedures, topical anaesthesia is applied before a local anaesthesia to numb the area, making the Plastibell procedure well tolerated by most children.

  • In my experience, most babies and children experience only brief, mild discomfort, if any, as the local is administered and little to non throughout the procedure. I have had some infants so relaxed that they sleep through the entire process, while older boys are most often completely at ease -happily occupied with some screen time throughout.

  • Majority of children need little or no pain relief after the procedure displaying minimal discomfort and quickly returning to their normal selves. However, like most things, pain perception varies, and some children may fuss briefly or require simple analgesics.

What to Expect: Pain Management and Recovery

  • Before the procedure: The area is numbed with topical and injectable anaesthesia for comfort.

  • During the procedure: Careful, expert technique keeps pain minimal.

  • Afterward: Paracetamol may be used for mild discomfort, but ongoing pain is rare. Most families note a speedy recovery, with children settling the same day.

  • Complications and serious pain concerns are rare (less than 1%), especially in experienced hands.

Every Child’s Experience Is Unique

Children’s pain responses vary based on age, temperament, and previous experiences. Approaching the process with clear information and reassurance can help families feel prepared. With skilled care and effective anaesthetic protocols, Plastibell circumcision is designed to minimize your child’s discomfort and ensure a smooth recovery. Most families report a positive experience and rapid return to normal routines.

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References

  • Akhavizadegan H, Ghorbani A. Investigating Normal and Abnormal Features of Plastibell Ring Circumcision: Case Report and Review of Evidence. J Urol Surg. 2025;12(2):63-67 20-2024.2024-8-2.pdf

  • Brady-Fryer B, et al. Cochrane Review (2004): Demonstrates local anesthesia is effective in minimizing circumcision pain.

  • Fein, J. A., Zempsky, W. T., Cravero, J. P., & Committee on Pediatric Emergency Medicine. (2020). Relief of pain and anxiety in pediatric patients in emergency medical systems: Clinical report from the American Academy of Pediatrics. Pediatrics, 146(3), PEDS20122536 1391..1405

  • Rossi, S., Buonocore, G., & Bellieni, C. V. (2020). Management of pain in newborn circumcision: A systematic review. European Journal of Pediatrics. 2020 Aug 3;180(1):13–20. Management of pain in newborn circumcision: a systematic review - PMC

Book a Consultation with Dr Carly Hupfeld

Whether you're looking for a Gold Coast circumcision clinic, ready to book or just want to learn more about the circumcision procedure or the potential health benefits of circumcisions, we’re here to offer personalised advice and help you make the best decision for your family. 

Dr Carly Hupfeld is committed to providing the highest standard of care and up-to-date information for families and specialises in circumcision and oral ties at:

Medical On Robina

T3/299 Scottsdale Dr, Robina QLD 4226

pH: (07) 5690 1290

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Why parents generally aren’t in the room during circumcision and oral tie procedures: A GP’s perspective