You're the only real pain in my ass these days.

All you're giving us is a pain in the ass.

And sometimes they were a real pain in the ass.

The mother especially gave me a pain in the ass.

Which is a pain in the ass like you wouldn't believe.

He was about to become a major pain in the ass.

Sometimes I can be a real pain in the ass.

Sometimes too much technology was more of a pain in the ass than a help.

I guess he can be a real pain in the ass sometimes.

He's been a pain in the ass for a long time.