The removal of a McDonald cervical stitch during pregnancy is typically a quick and straightforward procedure. While anesthesia may have been administered during the initial placement of the stitch, it is often not necessary for its removal. The doctor will carefully locate and grasp the stitch with forceps or a similar instrument. They will then gently pull on the stitch to remove it from the cervix. Some women may experience mild discomfort or cramping during this process, but it is generally well-tolerated. It's important to follow your doctor's instructions and communicate any concerns or questions you may have before undergoing this procedure.