As someone who's had them removed on separate occasions, I definitely recommend having them all yanked at once if they have access. The recovery takes longer each time if they spread them out. I had two pulled after my senior year of high school, and they weren't too bad. I had novocain and nitrous so I was awake for the surgery, and remember laughing because I could see them pulling the stitches but couldn't feel anything,and I was fine in a day or two. Then I had another one removed a year later (a little more painful), and the last one pulled during Spring Break of my final semester at Willy P. That one was the worst; didn't stop bleeding for almost 3 days, and hurt like a sonuvabitch afterwards. I didn't take any pain meds except for Advil, because I'm a G like that.