Telling you first hand, elbow has to be the WORST compared to any other part of the arm. At least it was for me. Once he started laying ink, it was one freaky ass feeling! You will squirm for sure. It hurts like he's hammering into your funnybone. I have a full sleeve and will take the underarm over the elbow ANY day. Get that shit on the outside of your forearms so they can read it on its way in to slam their nose or eyesocket Awesome work! Looks great man. Just wash it 3 or 4 times a day and keep a light coat of A&D ointment (or Tattoo Goo) for a few days and then lotion after that. You will be healed up in a week or so. Once it starts flaking, it will itch so just keep the lotion on it. DONT USE ANTIBIOTIC CREAMS, it will want to draw the ink out and could blotch it up