Wah ok now I'm kind of scared :) No matter which of the CRS's I end up going to, it'll be one that you've seen before Fiss, so I'm pretty sure they're going to go with local anesthesia plus conscious sedation. I'd guess probably Fentanyl for painkilling and Versed for sedation since that's what I got the two previous times I needed local anesthesia with conscious sedation. It worked alright the first time, but I swear the second time, when I woke up midway through the colonoscopy and could feel everything, is kind of burned into my memory now
![Image](http://illiweb.com/fa/i/smiles/fresse.png)
The risk of not waking back up is definitely higher with general but I think I'm going to push for it and see what they say. I made a copy of my colonoscopy report to bring to my appointment tomorrow. In it the doctor explicitly wrote that I'm extremely sedative tolerant and would suggest something stronger like Propofol or general anesthesia if I ever have to get another colorectal procedure done again :) Hopefully that carries some weight!