General anesthesia may be required if the IUD breaks off and remains, or if the IUD becomes embedded in the uterine muscle wall, or if the uterus is perforated during IUD removal. General anesthesia is generally not required for IUD removal. IUD removal is the removal of the IUD, which is a common minor gynecological surgery. Whether anesthesia is required for IUD removal depends on the degree of difficulty in removing the IUD as well as the patient’s ability to tolerate pain, and so on. If there is difficulty in removing the IUD, or if the IUD breaks and remains in the process of removing the IUD, or if the IUD is embedded in the uterine muscle wall, or if the uterus is perforated, then only after ruling out the contraindications to general anesthesia can the appropriate surgery be performed under general anesthesia, such as removing the IUD under hysteroscopy or laparoscopy. It is better to understand the condition of the embedded IUD, and then remove it and minimize the damage. If you are unable to tolerate the pain, local anesthesia can be given by injecting lidocaine into the cervix, or intravenous anesthesia can be used to remove the IUD painlessly. For patients with inflammatory diseases of the reproductive tract can not be removed, therefore, before removing the IUD should be regular medical consultation, to rule out contraindications to the removal of the IUD, according to the doctor’s assessment of their own examination results, before deciding whether to need anesthesia and whether to carry out the removal of the IUD surgery.