What procedures can I get for a bigger butt without being put to sleep?

By far the most effective way to add substantial volume to the buttocks is with fat grafting or implants. Both are considered surgical procedures and require anesthesia. In some cases, local anesthesia could be an option for fat grafting.  The only non-surgical solution would be injectable filler, but would require so much of it that it becomes cost prohibitive and it does not provide a long term solution. Filler can be used to fill in areas which are dimpled/depressed, but are not typically used for adding significant volume. 

Buttock augmentation can be done with a combination of fat grafting and buttocks implants. You can get one or the other or both depending on how much fat you have and how big you want to be! Please see examples of buttock enhancement options below.