Over the years I've figured out the best way for me to handle blood draws and thought it might be useful for others so I'll post my Fern Tips here: 1) Have your doctor write a note that you are very hypovolemic (low blood volume) and tubes should be filled only to the minimum amount needed. 2) I always ask for "peds" tubes—pediatric-sized tubes. So that's less blood they have to draw. They can't use Peds tubes on all draws but usually they can for most draws. The lab technician often has to check on that per test. And for special research draws I never ask for peds tube. 3) Ask for a "butterfly" needles. This is the very smallest needle. It is useful because first it hurts less and secondly it leaves less scar tissue. I've heard that sometimes the smaller butterfly tubing may occasionally be so small it may possibly damage blood cells. I do not know if this is true, but the only time I don't do ask for a butterfly is, again, if it's a critical research test. 4) I ask the technician to go above or below the most obvious place they always want to go. That's because after hundreds of blood draws I have a lot of scar tissue and that helps avoid the most painful spots. 5) Never bend your arm after the draw. Keep it straight. Bending it can create more scar tissue & make future draws more painful. 6) And here's a Tina Tip: If you tend to faint during blood draws, ask to lie down.