What are the chances of getting the episiotomy, afraid of being sore?

Please understand...: That the current trend in obstetrics (according to my colleagues) is not to do surgical episiotomies, as there is a great deal of evidence that healing is better if the posterior birth canal is allowed to tear naturally. However, this tearing often requires repair with sutures by the obstetrician. You will be given pain medication either with or without an episiotomy. Ask your doctor!