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This is an Italian proverb which means you can’t have something beautiful (rose) without some thorns associated with it, or something negative.
We have similar proverbs in English like you can’t have your cake and eat it too.
Or another one might be, no pain no gain.
Everything worth having in life requires hard work and dedication.
Italian Proverb: Occhio non vede cuore non duole – means what the eye doesn’t see the heart doesn’t ache. It is similar to out of sight, out of mind.
A couple of words that you can pick out from English in this proverb.
Occhio – eye, similar to an ocular exam.
Cuore – heart, similar to a coronary procedure.