I have to get Toby all cozy in my lap and not wanting to move in order to clip his nails. Havoc puts up a fight no matter what, so most of the time I only clip his dewclaws because those are the ones he always gets me with. He's not gonna like it either way, but I only trim them like once a month, so we just deal with it.

I don't think surgical removal would be better than just dealing with a fussy cat for a few minutes each time you try to clip them.