I had my "V" 15 years ago, just after my son was born. The procedure is very simple. The only problem I had is that the local anesthetic wasn't 100% effective, so I had some pain while he was cutting and snipping. Not unbearable, just enough to be really uncomfortable. I had warned him ahead of time that I have this problem (same thing happens with the dentist), so he shot me up with a bunch of this stuff, but it still didn't take away 100% of the pain. He asked if I wanted to quit and reschedule so he could do it under general anesthetic, but I told him just to cut fast and get it over with. We were done in about 5 minutes. 5 minutes after that I was driving home.
Recovery was just a weekend sitting around the house with a bag of frozen peas between my legs. Back to work Monday no problem.