“…Accordingly, it was concluded that specialized pain therapy is not refunded adequately [8]. These assumptions are supported by epidemiological analyses that demonstrate unrecognized and underestimated pain in children [6], musculoskeletal pain in adults [2], general pain in palliative cases [5] and geriatric pain patients [7]. To avoid insufficient pain therapy, the establishment of interdisciplinary pain therapy centers with outpatient, daycare clinic, inpatient and consulting capacities and medical personnel with anesthesiological, neurosurgical, psychological and psychiatric expertise was introduced and these have evolved to become centers of medical excellence in pain therapy.…”