I don’t know how big your center is or the capabilities and motivation of the anesthesia department. But standard of course is a general anesthetic (go to sleep) but ask if a brachial plexus block is possible. It should be placed before you go to sleep. You’ll wake up with a numb shoulder and parts of the arm; the catheters can be left in up to a couple days.
If placed early and done right the pain will be greatly reduced even after everything wears off.
From someone who knows.
I had RC surgery with brachial plexus block. Went home with a ball slowly infusing marcaine. I never had much pain. My surgeon lectures all over the world. Last I heard, India. The day I had my surgery, a German ortho surgeon flew to New Orleans, was on the same surg schedule. He brought his ortho resident daughter from Germany to observe the surgeries performed that day.
Find a top surgeon even if you have to travel to a center.
DF
