Sorry, haven't been on the message board for a while. After the implant, yes, it was a bit painful but activation by comparison was a breeze. For my AUS diary, see : https://community.prostatecanceruk.org/posts/t11152-Artificial-Sphincter--AUS----Diary-of-experiences (NB you may have to copy the link and paste it into your browser address field.). Any issues or worries, please feel free to send me a personal message.