The purpose of a new study published in the Journal of Advanced Nursing was to describe and evaluate pain scales used to assess nipple pain in breastfeeding mothers and to identify the intensity of nipple pain in women with or without nipple damage. This was a systematic review, which followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Here, data was extracted from Medline, CINAHL, Scopus, Web of Science, SciELO, and LILACS and relevant articles published up to February 2018 were selected. The findings revealed that Numeric Rating Scale (nine studies) and Visual Analogue Scale (seven studies) were most prevalent tools for measuring pain. In the pain score between 0-10, women with nipple damage reported a weighted mean of 6.2 in the first week and 5.8 thereafter, while women without nipple damage had a weighted mean of 2.7. It was observed that women with nipple damage consistently reported a higher level of pain than women without damage. Thus, it was inferred that to prevent premature cessation of breastfeeding, it is important to help new mothers avoid nipple damage.