Our 3 year old developed a fear of pain when inserting cannula. He has been diagnosed just over a year ago and has been pumping ever since the diagnosis. He has always been cool about changing cannula especially as it has always been done whilst he was watching his favourite cartoons. Then one day he went absolutely hysterical when he saw the needle and now he wriggles his bottom so much these days that we really struggle to insert it correctly for the first time. My husband and I are as emotionally scarred after such ordeal as our son and we can hardly hold the tears back. Usually, we put Emla for 1.5hrs before so we doubt very much it actually hurts. We started changing cannula at night when he asleep is but if he wakes up and realises what we are doing it is very dramatic for him. We already tried to show him that it does not hurt by putting Emla and then inserting cannula on mum,dad and then on a teddy and he was happy to do it all but when it was time to do on him it he started to cry and wriggle his popo. If you could may be give us some tips we would very much appreciate.