@lbo615, I have had several liver biopsies in the past during my journey with liver disease. A liver biopsy is a procedure to remove a small piece of liver tissue to be examined under a microscope. This information is used to show signs of liver disease or damage. It is used to determine the severity of liver disease and it helps guide treatment decisions.

I have had several liver biopsies over my liver disease/transplant journey at 3 different health centers over a time span of 2004 - 2009. My local hospital, University of KY, and Mayo Clinic Rochester. At each one I was awake, and given a local injected numbing medication. I might have has a sedative before my 1st one. But I do remember being nervous, and in calm conversation with the doctor. I remember his saying to take a deep breath, and that I would feel some pressure when he inserted the needle. I heard a click as the sample was taken, I felt no pain. Three samples were taken. It was a surprisingly quick process.
Afterwards, I had to lie flat as my vital signs were monitored, and as the nurses checked my for bleeding. When discharged, I had to take it easy for a short period and to not lift. I could take Regular Tylenol for minor pain.
Will your own Gastroenterologist be the one doing the biopsy?