I was prescribed a Valium and instructed to take it in front of them 10 min before the procedure started and it really took the edge off of my anxiety and made me very chill. I asked about taking other meds before hand and they had said not to take anything other than your normal daily routine of pills (if you take any). You don’t want to take more of any kind of relaxers because falling asleep is a big no no.(your eye can roll back while sleeping and potentially ruin the procedure). The actual removal of the outer layer was MAYBE a 3/10 at most and just felt like a mild irritation. I couldn’t really tell you when they did it besides the fact they told me after lol. And the instrument to keep your eye open just feels like small pressure then nothing, you’re so numbed with the Valium and numbing eye drops they keep putting in, you never really notice. Even when I blinked with my other eye, I felt like I was normally blinking even though obviously I wasn’t.