Acute pain is common, chronic pain is not. Both U.S. implant manufacturers have similar data to this effect. Although “improper size, placement” are stated by some to be the culprits, the allegation is laughable, because the proper size and placement is dependent entirely upon patient anatomy and preferences. Transection of nerves supplying skin may lead to prolonged pain as the nerves heal over months. Most surgeons will attempt to stretch the tissue around the area where the nerve travels hoping to avoid this. Capsular contracture may cause traction on cutaneous nerves, lading to pain. Relentless, intense breast pain should prompt an urgent notification of the operating plastic surgeon.