You will need it out your lip hun, as they use a tube for your throat, so even a plastic one isn’t suitable.
If you can grab the back disc, twist the ball off from the front, it’ll its really tight use kitchen roll to get a grip, and if you still struggle pop into any piercers and they will loosen it. As soon as its loosened you can take it out just before surgery and put it in just after (its what I did with my tongue bars) xx