The problem I had with the staples being removed was that most healed cleanly and came out easily enough. But the ones that didn't heal cleanly (i.e. got a bit bloody, etc...) had to be wrenched out in a way that pulled that already traumatized skin. Stitches are cut out if they don't dissolve. You can do it with a pocket knife if you need to, but staples require a special little grabbing device that holds them firmly so they can be either pulled gently or wrestled out. You want someone tough to wrestle for you, so that the period of cold sweaty pain takes only a second rather than minutes.