It depends on condition. Steroid creams will help loosen but are not guaranteed. Circumcision under general anesthetic is done in Public Hospitals. Private urologists often do the procedure under local anesthetic. The pain is managed. Different methods too the Shang device is used widely by private clinics. Public hospitals and experienced urologists prefer scalpel/surgical scissors to cut away the foreskin and seal with sutures (micro ones better). Know so much as I too developed phimosis - impacts sex life. Scheduled for circumcision with micro sutures soon. At 35 U easily have another 30 years of active bed activity

Best U prep for that and use the best $$$ can buy - dun skimp on the cost. I chose a private urologist with a great track record and one who knows how an adult circumcision should be done and also looks to fulfil a pleasing aesthetic.