Continual advances in Medicine, Surgery, and Anesthesia increasing our life expectancies as well as putting us at increasing the risk for the development of Chronic pain secondary to trauma, cancer and old age itself. Severe chronic pain is now a massive medical, economic and social problem. This has led to the evolution of PAIN CLINICs over the years where innovative technologies and novel drug delivery systems have been tried to bring freedom from pain. Pain Management is a new specialty of Medicine, recognized as 34th specialty of medicine in the USA. There is lots of advancement in this branch of Medicine and new modalities of pain management have evolved along with many conventional methods. Pain physicians are devoted to managing acute and chronic pain conditions which need an in-depth understanding and knowledge of evaluating a pain patient, appropriate assessment, and quantification of pain and judicious selection of treatment modalities. Most of the Interventional Pain Therapies are done under radiological guidance in the operation theatre under local anesthesia on day-care basis and total cost is much less and is very safe compared to surgery This specialty has recently emerged as a rapidly developing specialty in our country, though it has shown its presence in USA and UK for over 30 years.