Generally no, despite what you may have imagined or heard from others.
You’ll feel a little pinch as the area is numbed using local anesthetic. After this, it is usually slight pressure or pulling that can be uncomfortable for some patients, especially if the tooth is infected.
Don't forget we have Nitrous Oxide which is a great adjunct to local anesthetic in providing additional pain relief and anxiolysis during the procedure.
Some patient may also choose IV sedation with an oral surgeon.