Although I wouldn't get a tat that large, I have a lot of respect for a design that involved. It's a piece of art. I can only imagine how many hours went into that along with the pain! I have a small dog/horse tat on my back at the base of my neck and had to have my artist stop a couple of times a bit into the process because I was starting to become nauseous. Whereas, I hardly felt any pain with the two designs I have on my ankle. I give a lot of credit to those that get tattoos along the spine.