Hello and thank you for your question. Active FX is done primarily with just topical anesthetic cream. If we employ Deep FX we will do some blocks to the face where we will be working. We also offer IV sedation for those individuals having the deeper procedure (Deep FX). Our patients really do well during and after the procedure. Discomfort post-procedure varies from patient to patient. I find that patients use over the counter medication for post-procedure pain and do very well. Best of luck to you.