Needles and skin do not go hand and hand,but you would never know that you were a human pin cushion, Dr. Kim is quick and painless. Each session I end up relaxed and the energy flowing. As he explains "he treats the body from inside out instead of from outside in." He also uses Moxibustion, this was the first time I tried this technique and although I have no idea how it actually works it is supposed to aid in stimulating the circulatory system. Some like the smell of this herb some may not, I suggest trying it.