I don't know about pain or anything (still trying for my first) however i do know that they only make this cut if it is needed. (you would rather them make the cut then tear). Knowing many women who have had this cut, they say you don't even know when they do it because you are so focused on having a baby and then you are so focused on the baby when it is born that you don't even notice them stitching you up. Like any incision i am sure it is uncomfortable, but the doctors know what they are doing. Good luck