I go to the Cleveland Clinic and I've never even been asked if I wanted to be sedated. I don't even think she used Lidocane. It was uncomfortable, for sure, but really it wasn't bad. I liked that she could tell me what she was seeing live and I could look at the screen, too, to see what she was talking about. I don't think I'd ever be sedated for it after doing it 3 times with no real problems.