Some use the heated pin method. But that can lead to a little more pain than necessary. Also, there is hardly any pain associated with the drill bit method except for the slight pressure you are applying. Fingernails don't have nerve endings, and by moving very slowly with a drill bit, you can reach the blood pocket without touching your nail bed!
finally, you get a satisfying eruption of crimson that, if performed soon after the injury, has a geyser effect. it's quite nice.
Step 3: Find and sterilize/heat drill bit
Step 4: Start Drilling
continue to twist slowly until you penetrate the bottom of the nail
do not use a drill for this...
Step 5: Presto
squeeze finger to relieve the pressure