Cutting the buds can be painful, but the pain is not severe. Because most of the new growths are inflamed and edematous, and some of the sensory nerves inside the buds have not yet fully developed, the pain when trimming is not severe and is usually moderate or mild. The pain is usually moderate or mild. On a pain scale of ten out of ten, the pain is usually between three and six. Therefore, there is no need to give local anesthesia when cutting the granulation, and trimming the skin with tissue scissors directly after disinfecting the wound surface is much less painful than trimming the skin.