I had my rook pierced. It hurt for maybe the first six months, but only if I slept a whole night laying on that side of my head, I had it for a few years and it didn't hurt after at all. I only took it out because I went on a "remove all my piercings" stint. I also have/had my nose, ear lobes (two in each lobe, the main ones are stretched to 0's), snug, tragus, cartilidge, belly button and lip. I'd say my nose/snug was the most painful, rook wasn't too bad! I am thinking about getting my rook re-done or see if I can still get a ring in it I miss it.