IUD removal after 30 years of IUD placement and 2 years of menopause may be painful, but it is within acceptable limits. However, due to the different constitution of individuals, there is variability in their threshold of pain and it is impossible to generalize. IUD removal is the removal of the IUD that has been placed in the patient’s body so that it does not become deformed in the uterus. In general, patients who have had the IUD in place for 30 years and have been menopausal for 2 years will experience mild pain during removal, but it is within acceptable limits. Some patients may not experience any pain or discomfort and it is impossible to generalize. On the day of IUD removal, patients may experience mild lower abdominal discomfort, lower back pain, and slight bleeding, which are normal phenomena and need not be overly worried, and can be relieved after a period of adjustment. Generally speaking, it is normal for patients to experience slight bleeding after the operation, but if there is prolonged heavy bleeding accompanied by abnormal physical discomfort, it should be taken seriously. Patients are advised to go to the hospital for relevant examinations in order to clarify the cause of the disease.