Endometriosis is an enigmatic disease and its fundamental cause is still unknown. Endometriosisassociated pain syndrome is a common problem; it is underdiagnosed and patients suffering from the syndrome are rarely seen in specialist pain clinics. The correlation between the extent of the disease and pain is weak. Endometriosis-associated pain syndrome may be cyclical or persistent and the pain may radiate to other pelvic organs. Optimum treatment is timely intervention using a multidisciplinary approach.

Treating acute pain in the paediatric population poses challenges which include the lack of high levels of evidence and a universal pain measuring tool, contributing to the undertreatment of pain. A multimodal approach of topical and systemic analgesia, comfort measures and parental involvement remains the mainstay of pain management.

One of the responsibilities of a surgical house officer is to manage patients' pain during the perioperative period. This is important for humanitarian reasons and because good pain relief has significant physiological benefits (Table 1).

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