Pain free. Unfortunately the procedure is uncomfortable to down right painful. The effects happen either right away or within the first week.
You can still feel the floor and stuff so don't worry about that. The funny part is when I need to go and have it done again, the first symptom is my bladder is sensitive to sneezing and laughing. That is my clue to get it done again. Not sure if it is just me, but have my Depends on hand at all times!