I've had two of them removed. Of course, how painful it is, depends depends on what your tolerence level for pain is.
I'm a wimp for pain, and on a scale of 1 to 10, I'd rank the worst of it as maybe a 4 or 5. On the second one, they didn't even need to use the local anesthetic, and it wasn't bad.
You'll feel the pressure or sensation as it's removed or drained or whatever, but if there's a local anesthetic, there's no real pain. Packing the incision is mildly unpleasant (again from the pressure), but very bearable.
All in all not a big deal. Both of mine were done right in the exam room, took maybe ~20 minutes.
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