The main aim of a pain clinic is to help patients to ease or eliminate their pains with a wide range of treatment and return to a healthy and productive life style. Spinal pain, frozen shoulders, radiculopathy, neuralgias, complex regional pain syndrome these are the different pain conditions which are treated in a pain clinic. The consulting room, reception area, the treatment room and recovery room there should be enough space for its activities like evaluation, treatment, and supervised recovery of its patients in a pain clinic. Desired equipment is required while designing the layout of the clinic. Multi dispensary team, personnel and other types of health care professionals are also of great help in a pain clinic. Training, evaluation and treatment planning to obtain a complete history of all patients, patient follow-up visits, records of all patients, staff training to handling problem situations are the important role of a pain physician. The pain physicians have direct access to hospital beds for their patients and membership of pain societies is a great advantage to set up a pain management clinic.