General and spinal anesthesia seem to be equally safe and effective for most people. The early recovery process is better with spinal anesthesia plus sedation; we therefore recommend it for most patients. We usually only use general anesthesia for the rare patients in whom spinal fails to work. However, the final choice is yours to make. Prior to the surgery, the anesthesiologist will discuss the options with you and help you to decide which type is best for you.