I asked him if he was completely sure about his decision, as it would not only be permanent, but also dangerous ... with a risk of a chin tuck or nose job ... but no - he said he had faith in my skills with a scalpel ...

I said he'd best remove his outer garments, as they would only get in the way in the operating theatre

I picked him up and carried him into the theatre ...

He sat there while I made sure all the surgical instruments were gathered ... he asked if he could remain seated throughout the procedure, but I advised him for his own safety that he lay down ...

So ... he settled down and pulled the sterile operating clothing over himself ...

I pulled on gloves ... and checked the blade was sharp ...

Then we began ...

First incision ... then the next ...

"Stop fighting!" I said ... "you will come to harm" ... "I can't help it" he said, "I just want to be free of it" ... "All in good time" I replied ...

And then it was done ... Little Guy flopped back in relief ... glad it was over ...

After a short while, he gingerly stood, and moved his head back and forth, enjoying the freedom at last ...