The Rebbe advises against creating separate organizations for individual projects, urging centralized coordination under Tzeirei Agudas Chabad while allowing necessary autonomy. He reiterates the need to consult a Rav regarding anesthesia for a bris on one past bar mitzvah age, distinguishing between general anesthesia and localized pain relief.
https://www.torahrecordings.com/rebbe/igroskodesh/015/012/5669