In accordance with preferred embodiments, a needle with gated stylet is provided that is useful for controlled fluid transfer with a patients body. Preferably, the needle with gated stylet includes a hollow core needle providing a needle tip and at least two fluid transfer apertures with the stylet removably disposed within the needle. In an alternate embodiment, a needle providing a hollow core, an insertion tip, and a fluid transfer aperture adjacent the insertion tip and communicating with the hollow core, and a stylet disposed within the hollow core, cooperating with the fluid transfer aperture to preclude fluid flow through the fluid transfer aperture when the stylet is in a first position adjacent the insertion tip and promote fluid flow through the transfer aperture when the stylet is in a second position adjacent the insertion tip.