The amount of pain experienced during a helix piercing can vary from person to person. However, in general, most people describe the pain as mild to moderate. The helix is the curved cartilage at the top of the ear, and the piercing needle goes through this tissue. Because cartilage is denser and less pliable than skin, the needle may cause a brief, sharp pain. Some people may also experience a dull ache or throbbing sensation after the piercing is done. The pain level can also depend on the experience and technique of the piercer, as well as the thickness and shape of the individual's cartilage. It's important to keep in mind that pain is subjective, and what one person finds painful may not be the same for another. However, if you are concerned about pain during a helix piercing, you can take over-the-counter pain medication such as ibuprofen or acetaminophen beforehand to help manage any discomfort. It's also important to follow proper aftercare instructions to reduce the risk of infection or other complications.