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The question of what to wear to your appointment might seem obvious, but it's easily overlooked. Harris suggests you wear "something comfortable and not too tight. Pants or shorts that do not lay across your navel and a shirt are best. Anything with easy access to that area. Dresses or onesies are a little trickier for obvious reasons." I personally wore a cropped tee and the lowest-waist jeans I own (which are still pretty high).
As for whether it hurts, I can really only speak for myself, but I'd say it was about a five out of 10.Getting a needle pushed through your skin is never going to be pleasant, but it wasn't nearly as painful as some of the piercings I've gotten in the thicker cartilage of my ears. No tears streamed down my face, but Harris did have to remind me to unclench my fists and breathe a few times. The most uncomfortable part was actually the few seconds it took to thread the piece of jewelry through the hollow needle.