This is a magnificent book. It is timely, readable, and authoritative. Over recent decades, psychiatry has become peripheral to pain management. That is bad, because psychiatry has an enormous amount to offer this field, at least as much as any another single discipline. Freud opened the batting at the turn of the twentieth century and made an important contribution with psychodynamic theory and hysteria as an explanation for chronic pain for which a physical basis could not be located. Other important contributions from psychiatry include the conceptualization of pain as a variant of depression (1). Recently anesthesiology has moved onto center stage with ever more sophisticated interventions, including radiofrequency neurolysis, implanted medication pumps, and spinal cord stimulators.