No... I wasn't "semi awake" I was totally awake with just a "local" and talking to the Dr while looking at the screen watching the scope. One of the marvels of medicine I guess but I never felt a thing other than when the scope contacted the area where the mesh is at. I've had numerous surgeries in my 72 years of life so far and I prefer being knocked out too but I thought being able to watch would be pretty cool when it was offered... and it was.