You don't need to be afraid! I know they are scary b/c of the needle, and the risks, but the people giving them are trained and do them all the time. You won't feel the actual epi, b/c they numb the spot first with a small needle. That stings a bit, but only for a few seconds. Then you have to sit completely still while they do the epi, but you can't feel it at all. And it is like Lorrilou said, you are so distracted by the pain of the contractions that you don't really notice it. I didn't get one with my first 2, and I did w/my second 2. It is all a matter of where you are at (pain wise) whether you can handle it or not. You will be okay. Just be sure of what you can and can't accept during labor before you are there and maybe irrational.