In many cases, our doctors in NC perform endoscopy while the patient is under “conscious sedation”. You'll be administered anesthesia or sedation for an endoscopy depending on the specific procedure. Anesthesia may be local or general. In many cases, our doctors in NC perform endoscopy while the patient is under “conscious sedation”. In this type of sedation, the patient is relaxed and comfortable, but awake and able to follow commands.