It is usually performed through a small scrotal incision, commonly under general or spinal anaesthesia, and many people go home the same day. The procedure does still involve an operating theatre and anaesthesia, so it should not be treated as trivial. The
BAUS patient information describes these usual anaesthetic options and possible complications.
The operation can become more involved if the cyst is very large, recurrent, infected, difficult to separate from the testicle/epididymis, or if there are significant medical conditions or blood-thinning medicines.