pain in the ass

== English == === Etymology === Dysphemistically modelled after pain in the neck. First attested in the early to mid-20th century. === Pronunciation === === Noun === pain in the ass (countable and uncountable, plural pains in the ass) (idiomatic, slang, vulgar, Canada, US) Something or someone that causes discomfort, frustration, or annoyance. Alternative forms: pain in one's ass, pain in the arse (UK, Commonwealth), pain in one's arse (UK, Commonwealth), PITA (acronym) Synonyms: pain in the back, pain in the backside, pain in the bum, pain in the butt, pain in the keister, pain in the neck, pain in the rear, pain in the dick; assache; pill Used other than figuratively or idiomatically: see pain,‎ in,‎ the,‎ ass. ==== Translations ==== ==== See also ====