Typical treatment sessions last between 5 and 40 minutes depending on the size of the tattoo. The lasers do cause discomfort during treatment, similar to being “snapped” with a rubber band. Most patients equate the pain of tattoo removal with the pain of getting the tattoo. Some areas are more sensitive than others, such as ankles and the shoulder blade. The pain tends to decrease as treatment progresses and the tattoo ink fades.Skin cooling using forced cold air reduces discomfort significantly.Most patients tolerate the pain during treatment very well, but a local anaesthetic is available if required.