Because the Pilot has no keyboard, loading information into it one letter at a time is a genuine pain.

Some can be a genuine pain in the, well, jock.

The scalpel is sharp, and for a moment I am not aware of genuine pain.

It was the genuine pain in his voice that finally made Quinn look up.

I managed to keep a straight face, because I heard the genuine pain in her voice.

Her cry this time was one of genuine pain.

"How you must hate me," he said with an expression of genuine pain.

And it also had just enough of the truth in it to add genuine pain.

Others found her to be a genuine pain in the butt.

She had never played the game with the risk of genuine pain on either side.