Hello @redsoxn2024 and welcome to Connect. I have not had sinus surgery so I cannot help you with that experience. I did have a BAHA bone anchored hearing aid abutment placed under local only, no sedation. This involves drilling a small hole into the parietal bone of the skull behind the ear. The button-like abutment is then screwed into the skull. It was noisy with lots of pressure but no pain after the local. This was one year after having a subtotal temporal bone resection to remove the cancer invading my ear and the bone behind it. That eight hour surgery was of course under general anesthesia at Mayo Clinic. I wonder if you could schedule a visit to the anesthesia team you would be using to discuss alternatives, your fears of general anesthesia, and perhaps help you to make your decision?