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I got mine don't with a cylinder type thing, the put the earing in the cylinder and pushed it through I didn't think it hurt that bad concerting I have only my ear lobe done. Its hard to take care of...

I got my tragus done like 4 months ago.. I have no other type of body piercing except for my ear lobe. I guess it all depends on who is piercing it.. the nice gentlmen who did mine was very calm...