I have always HATED doctors and needles and this is NOT the disease to get if you don't like 'em! The nasal endoscope is not bad, both time they have done it they used a lidocaine spray which numbed everything up very well and I didn't feel a thing either time. They never used any thing but the nasolarygnascope (I think that's the actual name of it) so I don't know about nasal speaders or any of that stuff. It had a very tiny diameter. I found out a good trick for painless blood draw - tell them you want a pediatric needle - you won't even feel it.