The Kiel Headache and Pain Centre was established as a scientific pilot project by Prof. Dr. Hartmut Göbel in 1997, and is contractually supported by AOK health insurance. Together with Techniker Krankenkasse health insurance, this concept was adapted for nationwide healthcare provision. Also, an innovative outpatient – inpatient treatment network was initiated comprising more than 400 pain therapists. Today, the Kiel Headache and Pain Centre acts as a nationwide centre in multimodal pain therapy, offering streamlined treatment plans as well as close links with regional pain therapists in outpatient centres and hospitals. In our hospital we treat more than 1,500 patients each year from all federal counties in Germany, out of which about a quarter lives in the county of Schleswig-Holstein. At the end of 2013, the Kiel Headache and Pain Centre was officially acknowledged in the hospital necessity plan (Krankenhausbedarfsplan), meaning that all our patients can now receive inpatient care.