The Face, Legs, Activity, Cry, and Consolability (FLACC) Scale

By Dr. Costa / June 13, 2025

Evaluates postoperative pain in young children.

FLACC Scale Calculator

1. Face

No particular expression or smile 0 pts Occasional frown, withdrawn, disinterested 1 pt Frequent to constant frown, quivering chin, clenched jaw 2 pts

2. Legs

Normal position or relaxed 0 pts Uneasy, restless, tense 1 pt Kicking or legs drawn up 2 pts

3. Activity

Lying quietly, normal position, moves easily 0 pts Squirming, shifting back and forth, tense 1 pt Arched, rigid or jerking 2 pts

4. Cry

No cry (awake or asleep) 0 pts Moans or whimpers; occasional complaint 1 pt Crying steadily, screams or sobs; frequent complaints 2 pts

5. Consolability

Content, relaxed 0 pts Reassured by occasional touching, hugging, or talking; distractible 1 pt Difficult to console or comfort 2 pts

Total FLACC Score: 0

Author

Dr. Costa

Specialty Doctor, NHS, UK

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