Pain relief is not necessary with the diVa vaginal laser. For our clients, intravaginal topical anesthesia (cream or ointment) is placed for 30 minutes, which is very adequate for most/all settings. Patients describe the procedure as a "knocking" feeling as the device machinates, as well as some warmth. Some clients with a history of trauma or surgical scar may have increased sensitivity in that area; interestingly, my experience with these individuals is that by the 3rd procedure (initial treatment package is recommended to be 3 procedures), that sensitivity/pain is gone. When I discover the location of sensitivity for these patients, I do tend to make an extra pass with a therapeutic setting concentrating on that area. I have not had any clients request any pain medications following the procedure, either immediately or over the following days.