The national Ministry of Health document 227 of 2007 issued a license for the establishment of pain departments, but the road to survival and development of pain departments is still long. Many clinicians who are interested in pain medicine are still hesitant and wandering, and they believe that the survival of pain medicine is still a real problem that must be faced. In particular, most of them have no idea 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 departments today. Can pain medicine gain a foothold in clinical medicine or not? On what basis? What is the best way to establish a brand and further develop and grow? What is the right path for her development? Here we discuss these questions with you. First, play the advantages of eating leftovers and gnawing hard bones According to the national Ministry of Health, the main scope of practice of the pain discipline is the treatment of chronic pain diseases, but chronic pain involves most clinical disciplines, and how to deal with these relationships has significance. Before the establishment of the discipline, the positioning of the pain department as “eating leftovers” and “gnawing hard bones” may be of reference value, mainly because of the lack of good resources and influence of the discipline in the early stage of the establishment of the pain department, and it is difficult to choose the direction of its development or clinical scope immediately. The main scope of treatment. (1) This is the inevitable path that any new clinical discipline has to go through in the beginning of the creation process; (2) It is the driving force for the clinical foundation and development of the pain discipline; (3) It is the nutrient for the growth and improvement of pain physicians. 2, why “gnawing hard bones or bones without meat”? (1) to sharpen the will of pain leaders and physicians and challenge their abilities; (2) to promote the mastery of the specialty or core medical technology of the pain discipline; (3) to give full play to the development potential of the pain discipline; (4) to help the pain discipline to get rid of the strange circle of “grabbing patients” as soon as possible; (5) to help the pain discipline to overcome resistance and establish the brand effect as soon as possible. (5) help the pain discipline overcome the resistance and establish the brand effect as soon as possible. (2) Introduce the treatment techniques and clinical effects of pain diseases objectively; (3) Standardize the work procedures of pain disciplines; (4) Take the initiative to help other clinical disciplines to solve difficult and special pain. The reason why pain has become the fifth important vital sign of the human body reflects the wide range of pain and pain disorders. As the quality of survival of society and the population also gradually improves, the rate of concern about pain and pain diseases will also increase. 1.Establish a fixed external window (1) the setting of bulletin boards in outpatient clinics and wards; (2) pain science and health care knowledge pamphlets. (2) pay attention to the selection of appropriate publicity (1) pay attention to the lectures and publicity in the hospital; (2) give full play to the role of network publicity; (3) take the initiative to contact the media and society to expand professional publicity; (4) pay attention to the role of patient publicity. (3) The problems faced by the establishment of the pain department 1, the degree of leadership attention in the establishment of the current pain department can get the leadership of the initiative to pay attention to the low proportion. Only after repeated propaganda, 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.Relatively low treatment; 5.Insufficient experience in standardized treatment and ward management; 6.Diagnostic level needs to be strengthened; 7.Insufficient accurate mastery and safe application of new technologies; 8.Insufficient ability to handle early unexpected medical events. Fourth, choose the right clinical entry point The correct operation of the pain department to choose the right 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 discipline, the clinic should pay great attention to “chronic pain is not fatal”, in recent years, the pain diagnosis and treatment work flourished in some hospitals due to treatment technology or operational errors that cause disability or fatal events for the early development of the pain discipline is often also The impact of “disabling or fatal”. 1, medical quality, level is always the lifeline of the pain department: in 2-3 years to complete the “four steps” into the virtuous cycle, that is, the pain department’s 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, new technology development and safety application is the gas pedal of pain department development; any pain department can steadily, safely and effectively carry out new technology will greatly shorten the time and process of entering the maturity period. 3.The establishment of a standardized system and routine is the cornerstone of operating a pain department. 4, focus on strengthening the pain department members of their own construction and concept change. 5, the misunderstanding of sister disciplines “grabbing patients” may be the majority of the initial development of the pain department encountered difficulties. Efforts to achieve “not to overstep, not to miss”, to avoid “not in place, not positioned”, but also to promote “something, something not to do”. Through efforts to change the “grab patients” to “send patients”. 6.Respect patients, pay attention to informed consent, and strive to make the majority of patients satisfied. 7.Introduce truthfully and scientifically the treatment methods and expected results, and lower the expectations of patients appropriately. 8.Establish complication prevention and control routine and efficacy evaluation system. 9.Focus on the feedback of treatment effect and patient satisfaction; establish a long-term follow-up system. V. KISS principles and SAFE principles of chronic pain disease treatment in the United States The first issue of the journal Pain Medicine (PAIN medicine) published in the United States in 2009 published an editorial article on the front page: Revisiting the chronic pain management system: the application of S.A.F.E. principles. The article raises the issue of the selection of various approaches in the treatment of chronic pain, especially the criteria that should be followed in the selection of interventional and non-interventional treatments. The main analysis of the methods and principles currently used in clinical pain management work in the United States, 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. 1, K.I.S.S principle: clearly put forward the first choice of minimally invasive, low-cost methods; the second choice of small trauma, general cost methods; and finally choose high cost and trauma or placement of electrical stimulation, pump system of hierarchical, step treatment system. 2. S.A.F.E. principle: advocate safe and reasonable implementation of treatment, control treatment costs, and focus on both medical and social effects.