Hmmmm, did it hurt...LOL. I guess it all depends on your tolerance to pain. It does hurt, but not enough to make you cry or keep you from doing it again. The outline usually stings a bit and depending on the size, the longer you are being worked on, the more it hurts. The closest I can come to describing it is a rug burn. It is more on my outer thigh, so its wasnt very bad. I don't think I would ever choose my ankles again and I am a bit worried about doing one on my lower back. The tough skin,muscles and bones are probably the most sensitive areas.