My foreskin does not seem to be opening as my penis grows. Is circumcision recommended? How bad will it hurt?

It may or may not be necessary. The first step is to talk with your doctor and they may recommend a topical steroid. However, in cases of severe phimosis, yes – circumcision may be recommended. I can’t tell you exactly how much it hurts, but when performed as an adult it is a pretty big surgery that requires anesthesia and pain control. A urologist will be able to share more specifics with you if that is the recommendation.