The most pain I felt was the needle for the Novocaine. The DR. sprayed a freezing spray on my foot but it still felt like a thousand needles going in my toe for about 30 seconds. After that no pain at all thankfully. The nail they removed was fairly large, I would post pictures but somethings are not meant to be photographed. I did let it go too long before seeing the Dr so it was infected but when the nurse saw it she said cool and then told the Dr. that he had to see this so I think I made their day. Im just glad that its done.