If you have been prescribed pain from Dr Dirty, then this is your lucky day, If the doctor has prescribed you a course of spanking then this is all you need. After a good spanking from Dr Dirty you will be left with the inprint of RX on the skin to remind you to finish the course, and finish the course you will.!!! This is THE ultimate pain experience, the asylum pain paddle is made from a sturdy flexible quality rubber making this a very effective spanking tool, and a must have to any collection. no pain, no gain, get it? For the experienced persons only.