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important progress has been made in the study and treatment of several painful conditions, pain is still underestimated and under-treated both inside hospitals and in medical practice in the community. This seems to be due to three main reasons: – Pain is too often considered unavoidable. – In medical practice pain is not considered a priority. – Medical staff often lack sufficient knowledge about pain. As a result the presence of pain among inpatients is extensive (Table 1) [1–4], significantly more than would be expected from the World Health Organization’s (WHO) claim that 90% of pain can be controlled [5]. This has led to complaints about “the tragedy of needless pain” [6]. Awareness of this has stimulated campaigns all over the world to improve the control of pain in hospitals. A project called “Towards a Pain-free Hospital” was first started in Montreal, Canada [7], and was subsequently adopted by various countries, under the co-ordination of the international association Ensemble Contre la Douleur [8]. The main points of the campaign are: – Pain is a problem common to all medical specialities. – Every hospital professional is faced with the problem of pain. – The whole hospital must be involved in the campaign. – The general public should be involved in the campaign as well.

Towards a Pain-free Hospital: a project to improve the approach to the patient in pain