This is one of the common questions a patient has in his/ her mind before going for the surgery.
There is generally no pain during the procedure, because local anesthesia is infiltrated into the scalp which makes the area numb. To make the patient feel comfortable and to decrease the anxiety associated with the procedure, some pre-medications may be given. If required a top up of local anesthesia may be given during the procedure. Using massager or vibration may increase the effectiveness of the anesthesia.
After the procedure, there may be some discomfort for a day or two which is easily taken care of by analgesics.