It isn't easy, and I did have pain, but it was very well managed with medication. I have had terrible constipation, but as much as that sucks, it is a small price to lose as well as I have. Overall it has been easier than I anticipated, I was afraid of unbearable pain, starvation level hunger and vomiting, and I didn't have any of that. I am starting to lose my hair, and this has by far been the worst of it, and I'm extremely upset by it, but I have yet to see an after picture of anyone that has gone bald, so I am hoping it resolves soon. It's not easy but it's worth it.