Actually, I use the polar scope most sessions, from my suburban yard with street lights on the corners. It's not hard, but if transparency is poor, it can become a bit frustrating, though that's surprisingly rare.
When I was using v3.35 firmware, the Mel/Maz readouts were always within 10 arcminutes, often 2 or 3, which was about the same as the results I got using SynScan's polar alignment feature. Keep in mind, though, that what SynScan calculates as your error and the real polar alignment error may be two different things.
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Do you need to polar align for visual? No, not really. The more accurate the polar alignment, the less drift over time at the eyepiece, as well as better GoTo slews, though the latter also depends on your 2/3-star alignment accuracy and the geometry of stars you used in that process.
Once you get to imaging, you'll probably want to
not rely on the polar scope as it's accuracy can be limited, depending on how much time you spend on it - it's OK for short-medium exposure astrophotography. Since I have a personal dislike of the SynScan polar alignment routine and find its accuracy no better than the polar scope (and some people find it buggy whilst others don't), I suggest using something like
Alignmaster from a laptop. Drift alignment is accurate, but I disagree that it's fast ... anyway, you can use a laptop and camera to make drift alignment more comfortable and more reliable, if not actually faster.
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To align with the polar scope ...
First, set up the tripod with compass - you only need to be within 3 degrees. Level the tripod (I suggest getting a digital inclinometer - about $35 off eBay) and, when the mount is on the tripod, adjust the elevation to your latitude (using said digital inclinometer, as the latitude scale on the side will probably be out by a few degrees).
In the polar scope, you should find that Octans is roughly level with its corresponding reticle pattern and to the left or right within 3 degrees (your compass alignment accuracy), which means it is always in the field of view (tip: the image is inverted). If you've oriented the Octans reticle pattern correctly*, then Octans should be easy to spot.
Make further Alt/Az adjustments as required.
* I wrote a procedure to make using the polar scope easier. Most of it is something you only need to do once. See post #19 in
this thread.