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It's actually meant pretty well literally, by a doctor or dentist to try to reassure the patient who knows or expects the impending injection or other uncomfortable treatment will hurt... a bit.

I've found doctors and nurses will warn me it will hurt - a bit. They know patients don't believe the cliche so prepare them for the worst; with the consequent pleasant surprise that actually, it was not too painful at all.

The sentence might be used idiomatically, or metaphorically, though I've not encountered this.

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Q: What does the cliche now this won't hurt a bit mean?
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