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HS-associated pain has been reported to have a negative influence on patients’ quality of life (10, 11). The sensation varies among patients and is described as hot, pressing, cutting, sharp, gnawing, sore, or aching (1). It is usually linked to inflammatory lesions located deep within and under the skin. Pain is one of the most important burdening symptoms of HS. Moreover, HS correlates with a higher incidence of depression and increased level of stigmatization (8, 9). Due to the extent of the disease, foul smell, purulent discharge and pain, HS has a negative influence on patients’ health-related quality of life and sexual activity (6, 7). HS is characterized by the formation of multiple inflamed nodules, abscesses, draining sinus tracts, fistulas, and scars (5). The disease usually begins in early adulthood, commonly after puberty, and predominantly affects the skin folds of axillary, inguinal, gluteal and perianal areas of the body. The pathogenesis of HS is not fully understood possible mechanisms include follicular plugging, inflammation, genetic predisposition and bacterial propagation (1). The reported prevalence of HS varies widely from 0.03% to 0.09% (2, 3) in Germany and 4% in young women (4). Hidradenitis suppurativa (HS), or acne inversa, is a chronic, multifactorial recurrent, debilitating inflammatory skin disorder that affects the pilosebaceous unit (1). The worst pain was observed in the patients with the most severe disease and it would weaken significantly along with the severity of hidradenitis suppurativa (assessed using the Hurley staging system and the International Hidradenitis Suppurativa Severity Score System). There was no difference in pain intensity between affected locations. Pain intensity was greater in patients with multiple affected skin areas and correlated positively with the number of those affected areas (r = 0.151, p < 0.001). The majority of patients (77.6%) experienced mild pain women and smokers tended to experience more intense pain. In addition, pain intensity was correlated with various clinical features. The intensity of pain was assessed with a numerical rating scale. The aim of this study, which included 1,795 patients, was to evaluate the prevalence and characteristics of pain. Pain is one of the most important problems in patients with hidradenitis suppurativa. Hidradenitis suppurativa is a chronic, inflammatory skin disorder that affects the pilosebaceous unit of the intertriginous body areas.