My son's was very thick, tight, and came all the way down to his gums. It was clipped in office by an ENT with a local. It literally took a min, maybe 90 seconds. My son had also fallen and torn it several times and it was very painful for him.
Honestly most pedis don't have much experience in this dept. Have you emailed with dr kotlow? He's super friendly and quick to respond, he may request pics too. I seriously doubt he would recommend GA and he's the tt expert.
Ouch - yeah, I worry him tearing it. I think I will ask to see an ENT or someone with expertise.
Who is Dr. Kotlow? I have not contacted. I can easily get pics for him.