Episiotomy fears?

Kasey • Recently married July 13, 2015. My husband and I were eager to have children! I work as a child behavior councelor at a treatment center. We live in our home way out in the country of Minnesota :

I am absolutely terrified of having an episiotomy..the stories I have heard from close friends and family.

I want an all natural birth with no pain killers...I understand I may have to face this.

My doctors provide during labor peri area massages to help relax that area but is it effective?

Is there anything a woman can do to help reduce the risk of tearing?