Headache medicine is an integral part of neurology. Given the fact that there are no¨surgical, invasive, or complex diagnostic procedures involved in headache medicine, and since headache medicine is mainstream neurology, the neurological community should seriously question (1) the requirement for a separate headache certification in the field of neurology and (2) the reason why ALL neurologists are not mandated to be experts in headache medicine by the American Board of Psychiatry and Neurology.Dr. Finkel points out that the 105 neurologists who have been certified by the United Council for Neurologic Subspecialties-Headache Medicine (this author included), were certified under the practice track. 1 The brightest headache researchers and clinicians in the world are part of this group. None of us completed a headache fellowship. We read, attend conferences, teach, and apply the basic science of headache medicine to manage our patients. If a neurological subspecialty requires in-depth training of invasive, surgical, or diagnostic procedures, or contains a body of knowledge that is outside the scope of mainstream neurology, then a 1-year fellowship with special certification should be required. For example, in pain management it is important to master all the invasive procedures and be competent in the medical and invasive aspects of this field so as to competently practice pain medicine without causing harm to patients. However, for neurologists not to be able to comprehensively master headache medicine during residency with continuity of expertise into clinical practice is very disturbing and sends the wrong message to the public. The public expects that a neurologist is most competent with the authoritative final word on headache disorders. Now we are telling the public that we have 2 neurologists, a neurologist that is board certified in neurology who is expected to be proficient in managing headache patients, and another type of neurologist who is more competent in managing headaches. Imagine the ludicrous analogy of certification in chest pain medicine in cardiology, and certification in abdominal pain medicine in gastroenterology.The medical community should be indebted and very respectful of the important headache medicine contribu-tions made by neurologists who limit their work to headache in academic settings as teachers, researchers, and clinicians. All neurologists have the duty to stay abreast and be experts in all neurological disorders. Regardless of the scope of practice, a good neurologist has strong foundations in general medicine and especially in all neurological disorders as headache patients almost always have co-existing/co-morbid issues. Headache medicine can be easily assimilated into 3-year residency programs and into patient practice. Headache pathophysiology, treatment, differential diagnoses, does not require specialty training or specialty certification. Subspecialty training and certification is certainly essential in many areas of medicine and surgery. However, fellowship training an...