Getting rhino and septoplasty done with local anesthesia & only minimal iv sedation. can i get breathing tube to protect airway still?

Hard to suppress : Gag reflex without sufficient anesthesia or sedation. Proper monitoring and airway protection from nasal bleeding during even sedation cases requires a crna or md anesthesiologist (if the "surgeon" is planning on doing the sedation him/herself this is not a good idea) so the cost is the same as a great and completely comfortable and safe general anesthetic. Check surgeon's credentials!

No: If you're going to have an airway - either lma or et tube - then you'll need a deeper level of sedation and the services of a crna or md anesthesiologist. Ask your surgeon about this option.

Do not need one: Probably will not need an endotracheal tube for this operation. Talk to your surgeon if hou have specific concerns.