The last time I had my pouch scoped without sedation it was very difficult for me. I was able to push the scope out because I was experiencing so much discomfort. Because the doctor had seen some polyps he decided to not take them out then but to wait and take them out when I was under with anesthesia and when he could take his time. Now I have anesthesia every time. I would not have it any other way. Since he finds polyps every time he scopes, I think it is better I am put under so he can take his time and he will not worry about me jumping around.