I am very petite. the screw I wanted out was just too superficial and "pokey-outy". Even 13 months post-surgery, I have small improvements every few weeks. My girlfriend tells me hers felt better 3 years out & I am so happy with mine already! As for pain, be prepared, it can be tough, especially the first week or three. And especially if your doctor recommends avoiding NSAIDS, as they can interfere with early bone healing. If it hurts, take your pain medicine. Laying around in unneeded misery will not speed your recovery or make you a better woman. You will again have a strong,healthy and active ankle!