I had my IUD removed in 2001, and it was very smooth. In fact, I was still telling the midwife how I was worried because it was so uncomfortable going in when she held it up and showed me it was out already!
I'm no help for how long it took to get pregnant, though. I had my IUD for 5 years after taking Depo Provera for 2 years, so my cycle was really screwed up (in fact, that's why I had the IUD removed).
eta: Nope, didn't have to have AF when it was removed, which was good since I only had a few a year. It was just removed at my annual.