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It shouldn’t! My young son remarks on how he says “Ow!” when the cat walks on him, even if it doesn’t hurt: I find this applies to acupuncture as well. So no, acupuncture doesn’t hurt but it’s not without sensation. If your very human response to a non-painful sensation is “ow,” we work with you on that because even if it doesn’t hurt, we don’t want you feeling uncomfortable.

That always depends on the person, and acupuncture is not a one-shot deal. We live in a medical system that utilizes pharmaceuticals to “fix” things (and we’re not anti-pharmaceuticals around here!) and it’s just not a model that can be applied to acupuncture. I often liken your appointments to learning a lesson, or personal training: each session layers on the last, coming at a reasonable cadence lets your body learn without overwhelm… some people are fast learners and some need constant guidance.