“Why did the hipster refuse to undergo surgery?”/“The anesthesia wasn’t local.”

People are often encouraged to eat locally sourced food and to shop local. A joke was posted on Reddit—Jokes on March 8, 2017:
     
Q: Why did the hipster refuse to undergo surgery?
A: The anesthesia wasn’t local.

   
The pun is on the term “local anesthesia.”
   
   
Wikipedia: Local anesthesia
Local anesthesia is any technique to induce the absence of sensation in a specific part of the body, generally for the aim of inducing local analgesia, that is, local insensitivity to pain, although other local senses may be affected as well. It allows patients to undergo surgical and dental procedures with reduced pain and distress. In many situations, such as cesarean section, it is safer and therefore superior to general anesthesia.
   
Reddit—Jokes
Posted by u/Daniel_Day_Tiger March 8, 2017
Why did the hipster refuse to undergo surgery?
The anesthesia wasn’t local.
   
Twitter
Living Sarcasm
@SarcasmLiving
Why did the hipster refuse to undergo surgery?
The anesthesia wasn’t local.
6:55 PM · Mar 8, 2017·Twitter for Android
   
Twitter
Mike Huett
@TheHuetts
Why did the hipster refuse surgery?
........................................
Because the anesthesia wasn’t local
9:31 AM · Mar 9, 2017·Facebook
   
Twitter
Lily Doodle aka the bread bandit
@MissLilyDoodle
Replying to @HRHLou
Why did the hipster refuse surgery??? The anesthesia wasn’t local.
GIF
11:30 AM · Feb 24, 2020·Twitter for iPhone
 
Reddit—Jokes
Posted by u/royalredcanoe January 22, 2021
Why did the hipster put off their surgery?
The anesthesia wasn’t local.