The choice of the acupuncture points is individually chosen according to your specific symptoms and can vary in location to local (at the site of issue) to distal points on various parts of the body. Acupuncture is essentially painless with some experiencing a slight pinch as the needle is inserted while others feel nothing. When the needles are in place many patients report a deep sense of relaxation which can continue after the session is over. The effects last in varying degrees. Many people ask when will the effects kick in and the answer is it varies, most getting some sort of relief within the first few visits or sooner. The visit is similar to a traditional office visit in that your history and symptoms are taken as well as the evaluation of your tongue and pulse which can reveal more about your case from the Traditional Chinese Medicine perspective.