What you need to know about pacemaker surgery is that the implantation requires only a small incision of a few centimeters in your chest, so unlike major surgical procedures, it is a minimally invasive procedure. 2. Permanent pacemaker implantation usually requires only local anesthesia, that is, only anesthesia at the incision, and there is no severe pain during the procedure, no horrible tracheal intubation, and no discomfort after intravenous anesthesia of any kind. The procedure is not complicated: first, a small incision is made on the left or right side below the clavicle, and the surgeon separates a small space to accommodate my pulse generator; then the electrode leads are sent to the appropriate parts of the atria and ventricles through the puncture vein, and the parameters of the leads and the pacemaker are tested to be normal; finally, the incision is closed and sutured. The entire procedure takes about 1 hour. 4. After the operation, you will be advised to brake the operated side of the body for a period of time to facilitate the fixation of the electrodes and the healing of the incision. 5. Patients with new implants will be able to get out of bed after 2-3 days; recovery will be faster if the pacemaker is replaced. As the saying goes, the unknown is fear …… but after reading this issue, it should take the fear out of pacemaker implantation surgery!