The National Ministry of Health document 227 of 2007 issued a license for the establishment of pain units, but the road to the survival and development of pain units is still long. Many clinicians who are interested in pain are still hesitant to establish a pain unit, and they believe that the survival of a pain unit is still a real problem that must be faced. In particular, most of them have no clue or little knowledge about how to establish a pain unit. This is one of the biggest problems facing the establishment and development of most pain units. Can pain medicine be established in clinical medicine? On what basis? How to establish a brand and further development? What is the right path for its development? This topic will discuss these issues with you. First, play to eat leftovers and gnaw on the strengths of the bones According to the Ministry of Health, the main scope of business of the Department of Pain is the diagnosis and treatment of chronic pain, but chronic pain involves the majority of clinical disciplines, how to deal with the relationship between these have significance. Before the establishment of the discipline, the Ministry of Health, Department of Medical Affairs leaders in the discipline research, we have reported in many hospitals, the pain department is often “leftovers” and “gnawing on the bones” of the positioning of the possible reference value, mainly because of the lack of excellent resources and disciplinary influence, it is difficult to establish a pain department in the early days of the department. This is mainly due to the lack of excellent resources and disciplinary influence in the early stage of the establishment of the pain department, and it is difficult to immediately choose the direction of their own development or the main scope of clinical diagnosis and treatment. (I) Adapt to the necessity of “eating leftovers” (1) This is the inevitable path that any new clinical discipline must go through in the process of creation; (2) It is the driving force for the pain discipline to gain a foothold in the clinic and develop; (3) It is the nutrient for the growth and improvement of pain physicians. (B) why “gnawing hard bones or bones without meat”? 1, honing the will of pain leaders and physicians, challenge their ability; 2, to promote the pain discipline to master the characteristics or core medical technology; 3, to give full play to the development potential of the pain discipline; 4, to help the pain discipline as soon as possible to get rid of the “robbing the patient” circle; 5, to help the pain discipline to overcome the resistance as soon as possible to establish the brand effect. (C) the correct face of “robbing patients” circle of contradictions 1, positive, objective publicity, the introduction of the scope of the diagnosis and treatment of the Department of Pain; 2, an objective introduction to the treatment of pain disease technology and clinical effects; 3, standardize the work of the Department of Pain procedures; 4, take the initiative to help other clinical disciplines to solve the problem of difficult, special pain. Second, how to let the pain department into the social vision The reason why pain can become the fifth important vital signs of the human body, it reflects the pain and pain diseases of the wide range. As the society and the population also gradually improve the quality of existence, the rate of attention to pain and pain diseases will also increase. (A) the establishment of a fixed external window 1, outpatient clinics and wards of the bulletin board set up; 2, pain science, health care knowledge pamphlets; (B) focus on choosing the appropriate means of publicity 1, emphasis on lectures and publicity in the hospital; 2, give full play to the role of network publicity; 3, take the initiative to contact the media, the Society to expand the professional publicity; 4, focusing on the publicity role of the patients. Third, the establishment of the pain department facing problems 1, the leadership degree of importance of the establishment of the current pain department can get the leadership initiative to pay attention to the proportion of low. Only after repeated publicity, persuasion and public relations work, coupled with the pain department practical, safe and effective clinical work as a backing to achieve results. 2, lack of reasonable personnel and organizational structure; 3, lack of equipment in place; 4, treatment is relatively low; 5, standardized diagnosis and treatment and ward management experience is insufficient; 6, the level of diagnosis needs to be strengthened; 7, accurate mastery and safe application of new technologies is insufficient; 8, early accidental medical events handling ability is insufficient. Fourth, the correct operation of the pain department Selecting the appropriate clinical entry point is one of the keys to whether the pain department can gain a foothold in the clinic. However, if we trace the development of the pain department, the clinical should pay great attention to the “chronic pain will not be fatal”, in recent years, in the pain diagnosis and treatment work flourished in some hospitals due to diagnostic and treatment techniques or operational errors and disability or fatal events for the early development of the pain department often is also “Disabling or fatal” impact. 1, medical quality, level is always the lifeblood of the pain department: in 2-3 years to complete the “four steps” into a virtuous cycle, that is, the pain department of the diagnosis and treatment of the population from the general population – hospital staff’s acquaintances – hospital staff’s relatives – hospital staff – to the virtuous cycle of VIP patients. 2, the development of new technologies and safe application is the gas pedal of the development of the pain department; any pain department can be steady, safe, effective development of new technologies will greatly shorten the time and process of entering the maturity period. 3, the establishment of standardized systems and routines is the cornerstone of the operation of the pain unit; 4, focus on strengthening the pain unit members of the self-construction and conceptual change; 5, the brotherhood of disciplines misunderstanding of the “robbing patients” may be the vast majority of the pain unit of the development of the initial difficulties encountered. Efforts to do “not offside, not good position”, to avoid “not in place, not positioning”, but also to promote “something for, something not to do”. Through efforts to change “rob patients” to “send patients”. 6, respect for patients, the importance of informed consent, and strive to make the vast majority of patients satisfied. 7, truthfully and scientifically introduce the diagnosis and treatment methods and expected results, and appropriately reduce the patient’s expectations. 8, the establishment of complications prevention and treatment routine and efficacy evaluation system. 9, pay attention to the treatment effect feedback and patient satisfaction; the establishment of long-term follow-up system. Fifth, the United States of America chronic pain disease treatment of KISS principle and SAFE principle In 2009, the United States published the first issue of pain medicine (pain medicine) magazine published in the front page of the editorial board article: re-examine the chronic pain management system: the application of S.A.F.E. principle. The article raises the issue of the selection of various methods in the management of chronic pain, in particular the criteria that should be followed in the selection of interventional and non-interventional treatments. It analyzes the methods and principles currently used in clinical pain management in the U.S. The systematic study and understanding of this article is very useful for the smooth and sustainable development of the pain discipline in the early stages of its establishment and in the long term.