Eyelid surgery without any form of anesthesia would be cruel and unusual punishment. But I'm sure you are asking if eyelid surgery can be done without general anesthesia. And the answer is a definite yes. In fact, nearly everything that plastic surgeons do can be done without general anesthesia. Your choices for eyelid surgery are three: Local, Local with sedation, and general anesthesia. With local anesthesia you will feel the injections of the anesthetic and may have moments of pain during surgery which will prompt your surgeon to inject more local to give you relief. With sedation and local the same is true only you will not remember the experience at all. Sedation makes surgery a lot more comfortable without placing a tube in your throat and helping you breathe. When having surgery under general anesthesia you will have absolutely no pain during surgery and have no memory of the entire process. It is the most comfortable option, though probably takes the longest to wake up from after surgery. The risks and benefits of these choices are debatable and should be discussed with your anesthesiologist. If you have a strong preference for any of the above choices, your surgeon should be able to accommodate your wishes. I hope this info helps!