This was my first tattoo and I had it done last year on my 39th birthday. I love skulls and my sign is cancer...so I found a pic online of a tattoo that combined the two. I gave it to the tattoo artist...Curt from Black Rose Studios in Courtenay, BC, Canada...and he put his own spin on it. It took about an hour to get done and it didn't hurt anywhere near what I thought it would. I can't wait to get another. Maybe on my 40th birthday!!