There are more ways of circumcision, among which the anastomotic circumcision is very widely used. The anastomotic cutting edge is made using titanium staples instead of traditional sutures. Generally, the titanium staples gradually fall off on their own about two weeks after surgery and do not require special treatment. If after two weeks they still can’t fall off, you can go to the hospital and find a surgeon to remove them using vascular forceps. The removal process is generally only slightly painful and basically tolerable, no special anesthetic treatment is needed and there is no significant bleeding, the patient just needs to cooperate. If you are sensitive to pain, you can use lidocaine spray anesthesia and then remove the titanium nail.