Select 5 cards from your Deck and show them to your opponent. Your opponent selects 1 card among them. Add that card to your hand and discard the remaining cards to the Graveyard.
Rulings
Netrep Rulings
The player must shuffle after searching for the 5 cards to satisfy the effect of “Painful Choice.”
Searching for 5 cards is not a cost of activating “Painful Choice.”
Netrep Q&As
Q: Can I activate “Painful Choice” and “Necrovalley” and still get all 5 pieces of Exodia? A: "Painful Choice" does not target a card or cards IN the Graveyard, so it is legal to activate while “Necrovalley” in on the field. “Necrovalley” does not negate the requirements for discarding to the Graveyard by cards like “Painful Choice”. bishop, 01/15/2004