No, not usually! Japanese-style needles are ultra-fine and thinner than the traditional Chinese-style needles. My favorite needles are as thin as a strand of hair. While some points can be sensitive (I call them "spicy") most patients feel very little discomfort. I am present for your entire acupuncture experience. This means I can adjust any needles to increase comfort and be in constant communication with you to ensure a relaxing treatment session.