I'm finished treatment now and still keep in contact with a few of the friends I made. The doctors will use anaesthetic to put the port in and when they remove it, either local or light general. Once your port is inserted, you put the emla gel on two hours before each treatment. It just numbs the area for when they access it. Yes the port is inserted in your chest under the skin. When they access it, they will have everything steril and will insert a hook type of needle. It's quite thick. Only people who have been trained can access your port as it's important not to get infection in it. You buy the emla gel from the chemist. I had mine in for 16 months. I personally hated it and it was the one thing about my treatments that freaked me out. It's funny how you can focus on something that others find trivial and it can upset you so much but that was mine. It did make treatments so much easier though and I was fine once it was accessed.