my hospital had the same OR policy for twins and i decided to pick that as one of my battles.
i felt strongly that being in that harsher place would be a lousy thing for me and i was already bummed enough for being in the hospital in the first place. i was pretty impressed that i got a doc, after talking to me for a while, to agree that as long as i was vertex vertex i could stay in a normal L&D room since i pointed out that the L&D OR was about 47 feet down the hall and they could get me there faster than they could done their gloves i bet. basically i argued that my being in the next room over what not the thing that was going to slow down the time between deciding that i needed a c section and me getting one. the rest of the prep took just as long. they agreed, i was impressed, this was a strict old fashion military hospital.
they also did not push for a epi, i originally chose not to get one. after 20 hours on Mag Sul. for pre E level BP and then needing a light dose of pit to counter act the relaxing nature of Mag. (it is also what they give to stop PTL), i decided to get the tiniest dose of one to let me dealt with the pit and decided to take a nap (it was actually my request for a tiny dose that pissed the guy off, he said i was wasting his time not to get the full thing! i reminded him that i was the one birthing and that he could get as much of one as he wanted when it was his turn to birth a kid).
after a 2 hour nap i had them turn it off and wait for it to wear off before i started pushing. it was a bit of a pain to have in (we left it in because why not at that point) but i was not able to get up and walk anyhow because they were scared that Mag makes women pass out. so it was an easier choice since that freedom was the big one i had already lost.
in the end i pushed both babies out blissfully (pain)unmedicated and in 16 minutes for both. after a great first 7 hours of labor at home and a kinda shitty boring 20+ in the hospital, the last few hours were rocking great again. i was so happy how i not only did not get caught in too much of a cascade of intervention, but actually managed to back out of the whirlwind and continue to make healthy choices after accepting a few very needed interventions at the beginning. (1. being in the hospital in the first place, a last minute choice with the blood pressure sky rocketing and 2. getting put on Magnesium sulfate to help stave off BP related seizures)
anyway I'm rambling, but the gist was, you might poke around and see what you can get them to agree to with the OR, and in any case remember that negotiation will get you a lot if you do it properly with a good doula or avocate by your side and with respect for all sides.