I've had a birth with, and a birth without.
The birth without was my first. While I am not in the slightest bit needlephobic, and I've seen literally hundreds of spinals being inserted, I wasn't keen on having an epidural. I know it's likelier to be correlation rather than cause (i.e. those who are likely to end up having an assisted birth are more likely to ask for an epidural), but I felt I already had enough risk factors for an assisted birth already (BMI, first baby, early induction). If the pain was too much (and I have a pretty good pain tolerance) I would consider an epidural then. As it happens, the pain was a bit too much, but I was given an alternative option of diamorphine, which I opted for instead. I now see how people get addicted to that stuff. I was as high as a kite until shortly before baby was born.
My second I did have one. I went into labour in similar circumstances (early induction), expecting it to be quicker and easier than my first. Oh how wrong I was. Labour was a little easier, but it was far and away from quick. I spent the same amount of time on the drip as my first, but only progressed to 5cm. I had the option of opioids or epidural, and this time chose the epidural. If it had taken so long to get to 5cm, how much longer was the rest of labour going to be? Knowing that I wouldn't want multiple doses of opioids, it was an easy call. A few hours after the epidural was inserted (made the mistake of requesting it at handover on a Friday night, so had to wait an hour an a half) the call was made to have a C-section. Turns out baby was badly positioned and was never coming vaginally. Hence my belief it's correlation, not cause. It wasn't in long enough to affect baby's position before he was extracted.
The epidural was ok. Handy for the C-section as it only needed topping up. But I do have niggling back pain that I didn't have prior to the epidural. I felt the needle during insertion too. It didn't hurt, but it was very unpleasant feeling it. I just wanted it over with, so told the anaesthetist to continue.
If I were to have another baby, I would stil attempt to go without. But I would never say never to having one