A functional disorder is a medical condition that impairs the normal function, but withoutmajororganiccausesuchasirritationorinlammationandwheretheorganor part of the body looks completely normal under medical examination. The accumulation of abnormalities that limit body functions is a major risk factor for patients with irritable bowel syndrome (IBS), deined as a gastrointestinal disorder with abdominal pain or discomfort that is associated with a change in bowel habit. Often, this disorder is accompanied by the concomitant decline in cognitive or motor performance. Pain that in somepatientsisoutofproportiontoidentiiablepathologyisthemostimmediateand dramatic consequence of IBS and is responsible for a highly negative impact on quality of life and substantial workforce loss. For patients with IBS, the most common comorbid diagnoses include painful bladder syndrome (PBS) or chronic pelvic pain (CPP). Cells of theafectedtissuesmayinteractincell-to-cellmannermessagesthroughthetransferof hormones,cytokines,andothermediatorsthatinluencenormalfunctioning.Thecomplex interplay and balance between these diverse mediators, ageing, genetic background, and environmental factors may ultimately determine the outcome of the progression of the functional disorder. On a cellular level, these responses are highly complex, involving a vast array of enzymes and receptors of virtually every class, directing recruitment of many types of cells to recover the healthy state. Indeed, a balance between the messengerswiththeinherentredundancyofthediferentbodysystemsmakestherapeutic intervention of functional disorders a considerable challenge.