This paper proposes an automatic pain assessment system using respiration. This research, submitted to the AI4PAIN Challenge, introduces a pipeline that combines a highly efficient cross-attention transformer with a multi-windowing strategy. Experimental results demonstrate that respiration is a useful physiological indicator for pain assessment, and that an optimized small model can outperform a large model. The multi-windowing approach effectively captures short-term and long-term features as well as overall characteristics, enhancing the model's representational power.