You can do it yourself but please have your vet show you how, If you do it the wrong way you could actually burst the sacs.

Is is very smelly & messy. Raustyk used to have to have hers done all the time, I did it myself when the weather was nice, during the winter though we went to the vet. I did not want that in my house! LOL
I switched her diet & she has never had a problem since (along with many other major problems from that food)

If you add more fiber to their diet that seems to help too, although you want to add it gradually & never give too much, it could become really messy haha