She and her colleagues have to face up to some painful choices.

Loneliness many times is a painful but preferable choice for them.

For all three Presidents, however, the hour of painful choices has now come.

Never was there such a painful choice between form and function.

Doing so would allow us to make much less painful choices in the future.

It comes to 40, more than my budget can stand, so there will be painful choices to make.

The economy will demand painful choices about how best to use shrinking resources.

The debate has not addressed the notion of painful choices.

Now, his hand forced by the weakening economy, he is making difficult, often painful choices.

This all adds up to a lot of reading, and painful choices.