I had mine done private through work bupa. Was originally going to be a local but on the day the surgeon said he’d prefer to do it under general. I latterly needed a finger ring block anaesthetic for a badly broken finger, which made me glad I went along with the suggestion, so I missed the fun of the seeing the nail bed excision.
The relief after the swelling had gone away and the infection cleared was amazing. Whether you can get it done private or go to a podiatrist or whatever, get it done properly – well worth it!