Don't worry, we'll take care of it.
Extractions can be simple or surgically done. Simple extractions are usually performed when the tooth is visible, already loose and only require dental forceps to lift it after it has been rocked back and forth. On the other hand, surgical extraction involves the removal of teeth that cannot be easily accessed because they have not fully erupted or they have broken under the gums. This requires an incision and frequently, the tooth to be extracted are split into multiple pieces to be able to easily remove it.
When your dentist decides that a tooth has to be removed, he may either do it on your regular checkup or schedule this procedure. He may then recommend cosmetic dental options thereafter. But you need not worry about the pain, because we'll take care of it.