For me personally, the ankle was the WORST pain ever. A lot my tattoos are in 'painful' areas, like my ribs, my hip, back on my spine, neck, full sleeve, but I thought the ankle was the worst. The pain would never stop me from getting a tattoo, though. The pain is a few hours, the tattoo is forever. If you’re really serious about the tattoo, you’re not worried about how much it costs or how much it hurts.