For me 4 incisions in a diamond pattern on stomach. 3 are maybe 1/4 to 1/2 inch long and the other is about 2 inches long.After 11 months he little ones are almost invisible and the 2 incher is fading. The fill port is about the size of a nickle and it is attached to the muscle wall under the skin 2 or 3 inches below your breast and no you can't see it but, you can feel it if you push on it. To fill it they give you a shot of local pain killer then stick a needle into your port to fill it. Other than the initial pain shot there is no pain at all and the pain shot does'nt hurt anyore than any other shot you have ever had.You can feel it when they are filling you but, there is no pain.:cool2: