Depends on the surgeon. This is a little too major to be done under just local anesthetic, but you can probably find a surgeon who will do it using "conscious sedation". It basically means they give you enough drugs under IV that you'll get sleepy/high, but not enough that you're completely out and requiring intubation. This also means no gas.
Failing that, if you mention specifically what it is that bothered you so much after general anesthetic last time (eg nausea) to the anesthetist, they can alter the drug profile and give you a shot of other stuff to try and negate a particular side effect.
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