I've gotten two moles removed, both recommended by my doctor. The first was a small, dark mole in the elbow pit. The derm removed it because it was getting larger and it's edges were uneven. It was a quick and painless procedure.
The second mole I had removed last year upon the suggestion of my doctor. It was a dark, slightly big mole on my chin. I actually hated it for most of my life and always wanted to get it removed. I felt so self-conscious about it. I had it removed by a plastic surgeon because it was on my face and I wanted minimal scarring. What's the point of having a mole removed if the scar is going to be worse?
I had local anesthesia and the procedure was actually painful. It burned a lot and hurt but the recovery was fine. I used scarguard afterward to help the area heal with minimal scarring and even used vitamin e oil on the area. I still have a red ring around where the mole used to be but I am so happy with the results and glad I had it removed. I was lucky because my insurance company paid for the procedure with no problems. If it hadn't, I wouldn't have had the mole removed.