The general pain of anesthesia for internal eye bag removal is not obvious, and the patient’s eye discomfort can be relieved after the anesthesia takes effect. Cutting bags under the eyes before surgery, patients need to first surface anesthesia, that is, the use of surface anesthesia drops in the eye, such as ouabucaine hydrochloride drops, proparacaine hydrochloride drops, etc., and then can be injected from the subconjunctival anesthesia drugs, such as lidocaine, at this time, the conjunctival tissues have been anesthesia drops paralyzed, the injection of the pain is not obvious. During the surgery, because the local pain nerve fibers have been paralyzed, patients generally do not feel pain, but the entire procedure is carried out under local anesthesia, the patient is always awake. Internal eye bag surgery is a commonly used form of ophthalmic cosmetic surgery, whereby an incision is made in the conjunctival surface to remove the fatty tissue inside the eye bags, thus eliminating the bags and improving the appearance. It is recommended that patients follow the doctor’s instructions for care after internal eye bag surgery, have regular checkups, and seek prompt medical attention when discomfort occurs.