I have to say that with me it wasn't that bad...
I had 4 chest tubes coming out of surgery, the two 'air' drains came out 3 days post tx I think. I had an epiral just between my shoulder blades for pain management and that worked wonders, I didn't have any pain with it in. So taking out those first two tubes was easy.
The epidural was taken out before the other chest tubes could be taken out (they keps draining) and I did feel it when they were taken out. But it wasn't really really bad, like you hear sometimes. I wouldn't say it didn't hurt, it did, but most of it was really at those 2 seconds that it took to take it out. The pain was gone quite quickly.
Anyway, I would for sure ask them to put an epidural in, if there is time, just before you go in for your tx. They asked me if I wanted it, when I arrived at the hospital and everything seemed to be a go. I was very hesitant when they asked me if I wanted one. But they told me it would really benefit me post tx. And I can tell you, it did! And putting it in wasn't nearly as bad as I thought. It always looks to be so painful when you see it on tv.