It's an object that relies on super sky transparancy for visibility . Back in 1984 myself a number of observers at the Mt Kaputar astrocamp saw it in a 6" F4 Newt with a Nagler 13mm , but at the time the large face on Galaxy M33 in Traiangulaum was easily seen naked eye and I've not seen it so easily since ( 25 yr younger eyes would help too !) The view we had of it that night through a Coulter Odyssey 1 13.1" F4.5 Dobsonian and Nag 13mm was the best I ever had and not since been bettered.
Famed US observer Walter Scott Housten saw it in a 4" RFT refractor but that would be 50 years ago.
I saw it clearly in a spectacular night at Ilford, NSW once with a 10" F6 Newt.
A few of us saw it at the first IIS star party in January 2007 with PS's 12" binocular with no filter. It was invisible when you closed one eye.
In most cases the Lumicon Hydrogen Beta filter will dramatically improve chances of seeing it but you need a good sky to start with.
Some people when they first see the Flame Nebula nearby for the first time mistake it for the horsehead, but the Horsehead.
I think its one of those elusive `holy grail ' objects and one always well worth looking for
Mark