Does LASIK hurt? What you really need to know

In this post, Dr. Matthew Russell answers all you need to know about LASIK surgery, and if it is painful.

One of the most common questions people ask before LASIK eye surgery is “Does LASIK hurt?” It’s a fair question. Many people are nervous about anything involving their eyes, especially when lasers are involved. If you’re considering LASIK and are worried about whether laser eye surgery is painful, this guide will help you understand what to expect before, during, and after the procedure.

Understanding LASIK surgery

LASIK stands for Laser-Assisted In Situ Keratomileusis. It’s a popular type of refractive surgery that corrects vision problems such as short-sightedness (myopia), long-sightedness (hyperopia), and astigmatism. It works by reshaping the cornea, the clear front part of your eye, so that light entering your eye can be properly focused on the retina.

Many people choose LASIK so they no longer need to rely on glasses or contact lenses. The results are often life-changing. LASIK has high success rates and fast recovery times, and most patients notice clearer vision within a day.¹Ekktet Chansue et al, Efficacy, predictability and safety of small incision lenticule extraction (SMILE),2, Article number 14, Published: 31 August 2015

Is laser eye surgery painful?

This is one of the biggest worries for most people. But here’s the good news: LASIK surgery is not painful. Surgeons use anaesthetic eye drops to make your eyes completely numb before the procedure starts. These drops remove the feeling in your eyes so you won’t feel pain while the surgery is happening.²Blum et al. Five-year results of Small Incision Lenticule Extraction (ReLEx SMILE)

What you may feel during surgery

While LASIK is not painful, you may still feel some pressure or a sense of something touching your eye. This is normal and usually lasts just a few seconds. The surgeon creates a very thin flap in the cornea, then lifts it to use a laser that reshapes the cornea underneath. Most of the time, the laser is working for less than a minute per eye.

The entire procedure usually takes about 10–15 minutes for both eyes. Most patients are surprised by how quick and simple it is.

After surgery: Is there any mild discomfort?

After the anaesthetic eye drops wear off, you may feel a bit of mild discomfort. Some people describe it as feeling like an eyelash or a grain of sand is in their eye. Others feel a little burning or stinging. These feelings usually go away within a few hours.³Probst, The Optimization of LASIK, International Ophthalmology Clinics 48(1):p 9-16, Winter 2008.

To help with healing and comfort, your surgeon will give you eye drops. These often include lubricating drops and medicated drops to reduce inflammation and prevent infection. Be sure to follow your aftercare instructions closely; this helps reduce discomfort and ensures your eyes heal properly.

Managing light sensitivity and glare

Some people notice they are more sensitive to light after LASIK. You may also see glare or halos around lights, especially at night. These side effects are common and usually get better within a few weeks.

Your eyes might also feel dry in the first few days or weeks after surgery. This is normal and is managed with lubricating eye drops. For most people, these symptoms are temporary.

Preparing for LASIK: Reducing anxiety

Feeling anxious about surgery is normal. But knowing what to expect helps ease your nerves. Many patients say the experience was easier than they thought. Understanding each step, from the use of anaesthetic eye drops to what mild discomfort feels like after surgery, can make you feel more prepared.

Your surgeon and their team will guide you through everything. Don’t be afraid to ask questions. They’ll make sure you’re calm and confident before you go into the procedure.

The role of the surgeon in your comfort

Choosing the right surgeon is key. A skilled, experienced surgeon not only performs the surgery well but also makes sure you feel safe and comfortable. They will carefully plan your treatment and take time to explain your options.

Dr. Matthew Russell has performed over 20,000 vision correction procedures and is known for his caring approach and clear communication. You’ll meet with Dr. Russell before surgery to discuss your goals, check your eye health, and ensure LASIK is the right option for you.

What to expect after LASIK

Your vision may be a bit blurry right after surgery, but most people notice improvement within 24 hours. You’ll have a follow-up appointment the next day to check how your eyes are healing. You’ll also get instructions on how to use your eye drops and protect your eyes in the days ahead.

You should avoid rubbing your eyes and stay away from dusty or dirty environments. You may also need to avoid swimming and eye makeup for a short time. But most people return to work and normal activities within a day or two.

Is LASIK right for you?

If you’re tired of glasses or contact lenses and want a long-term solution, LASIK could be a great option. Not everyone is suitable, though. Some people with thin corneas or certain eye conditions may need a different procedure.

The best way to find out if LASIK is right for you is to book a free laser vision assessment. This includes a full eye exam and a discussion about your options. You’ll also get a chance to ask questions, including whether laser eye surgery is painful for people with sensitive eyes.