2. General hand surgery of both upper limbs also needs general anesthesia, because hand surgery or upper limb plastic surgery can be completed by brachial plexus block, but only on one side. The risk of anesthesia in bilateral surgery is too high, and general anesthesia is safer.
3, for minors, it is also recommended to choose general anesthesia, which is more comfortable and safe, local nerve block and local anesthesia, plus long-term surgery, the average child can't stand it. The disadvantage of general anesthesia is that it is more expensive, but it is better than local anesthesia or local nerve block in safety and comfort. However, some hospitals, especially private hospitals, do less general anesthesia and may not be willing to do it.
4. The specific anesthesia and surgical plan needs the clinician to decide according to your situation. Of course, the doctor will definitely choose the safest and most comfortable method for you, and you can also make your own demands (mainly through your family).