Patients may be referred before an operation or present with acute pain after surgery, back and neck pain, nerve-related pain or long-standing pain that limits daily life. Evaluation includes medical history, physical examination, review of investigations and an assessment of procedural risk or the source of pain. Care may involve an individual anaesthetic plan, medication, image-guided injections, nerve blocks or implanted pain therapies. The department aims to make procedures safer, reduce pain and support a smoother, more comfortable recovery.