Earlier quoted context omitted.
I got mine done three years back at 36 (I've had gastric issues, and my mom has colorectal cancer) - didn't use sedatives or anesthesia. Pain tolerance is relative, so my own experience wouldn't carry over. I can understand if some people want sedatives, but anesthesia is pretty high risk like you were saying.
So much "high risk" in this thread, yet its used all over the place in United States and not a single shred of evidence to be found anywhere here...
"Not a single shred of evidence to be found" -> "I didn't actually look but like telling people they're wrong lol"