Here's some advice from first hand experience. Even if you're using a board Certified Surgeon, it's still important to make sure they specialize in rhinoplasty even if they do other procedures. since most plastic/cosmetic surgeons do most procedures, it doesn't mean that they are very good at all of them. some might be very good at doing boob jobs, but not so good at nose jobs. check with at least 2-3 surgeons and look at before and after pictures that they have of patients. Even if someone has the schooling, degrees etc. it still comes down to a surgeons artistic skill. As far as the pain, I didn't think that it really was that painful. I've had more pain having a root canal done.