It’s not uncommon for medical procedures to hurt btw. An episiotomy is a surgery, though, and where I’m from it’s always done with anesthesia. Could be a US thing to do it without. It’s also not a “terrible thing” but a sometimes necessary procedure that can greatly benefit a mother and child when giving birth

Edit: Just to be clear, though: There is definitely loads of stuff to criticize about gynecological procedures.

Edit 2: Also, calling out an episiotomy like that is just unreasonable imo