Это хорошее лечение без боли.

Breakdown of Это хорошее лечение без боли.

это
this / it is
хороший
good
без
without
боль
pain
лечение
treatment

Questions & Answers about Это хорошее лечение без боли.

Why do we use это at the start of the sentence? Does it have to match the gender of лечение?
In this sentence, это means "this is". When used to introduce something ("This is a..."), это never changes its form, regardless of the gender of the noun that follows. (If you wanted to say "This treatment is good," you would match the neuter gender: Это лечение хорошее).
Why does the adjective хорошее end in -ее instead of the usual neuter -ое?
Лечение (treatment) is a neuter noun, so its adjective needs a neuter ending. Because the stem of хороший (good) ends in a "hushing" sound (ш), Russian spelling rules require us to use -ее instead of an unstressed -ое.
Why is the word for pain spelled боли here?
It is in the Genitive case because it follows the preposition без (without). The preposition без always forces the noun that follows it into the Genitive case.
How do we know to add -и to make the Genitive form боли?
The dictionary form is боль (pain). Nouns ending in a soft sign (-ь) can be masculine or feminine, but боль is feminine. Feminine nouns ending in -ь drop the soft sign and add -и in the Genitive case. (If it were masculine, it would end in -я).

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