Kathy, they only did my tram side once, and that was eons ago. However, it was amusing. The tech was so afraid she was going to hurt me, and I have absolutely no sensation in the reconstruction at all, so the risk of hurting me was like 00000. I know many of the women here have tramograms, but my onc is not inclined to do them. My surgeon and plastic surgeon were not pro-tramograms either, so I never pushed for it. The one time it was done, it wasn't ordered, so I didn't get charged for it. The tech was just "overly diligent."
Anyway, the one time they did it, it was absolutely painless.
Love and hugs...