We derive in two ways a lowest-order optical potential V πA using the projectile and a pair of target nucleons as the basic interacting unit. The first derivation—a heuristic one—uses a multiple-scattering theory, while the second employs a field theory where pions can be absorbed and emitted as well as scattered. The lowest-order terms of V πA contain the two-particle ground state density and the πNN → πNN scattering matrix. In the same field-theoretical model one analyzes the latter in standard multiple-scattering contributions and genuine absorption corrections. The form of these corrections and their relation to often ad hoc assumed forms is discussed.