Hi Paul, this is Jack, and I am a professional who provides emsculpt neo treatment and have been providing for years. The answer to your question is NO. Emsculpt neo-treatment does not hurt. At times, the feeling of a strong muscle contraction can make you uncomfortable for a short time, but it is not long-lasting. So far, I have carried out this treatment on more than 200 patients, and none have ever complained. This is because emsculpt neo treatment is carried out smoothly without making anyone uncomfortable.