By far, the biggest proof of your pain and suffering is your medical records and bills. Additionally, in cases where you have a serious cut, photos can be great to show your pain and suffering. Videos showing your surgery can also be great if or a doctor put hardware in your body. If your case reaches the lawsuit phase, then your testimony under oath will be another factor in any ultimate pain and suffering award or offer. The defense attorney will look at your medical records. He or she will ask you questions to see if you are exaggerating your pain and suffering. Remember: At every medical visit, the doctor asks you your pain level. He or she records it into every medical record. Therefore, this record is permanently recorded. Don't think that you are outsmarting the insurance company when you later tell them that you pain level was a 9 or 10 (out of 10), but you told the doctor it was a 1 or 2. Here is an image that shows the pain scale: