Every palliative care patient should have the expectation that acute and ch
ronic pain management will be an integral part of their overall care. Howev
er, in all too many instances, the pain of cancer is often grossly under-tr
eated. This issue is of concern because more than 80% of patients with canc
er pain can find adequate relief through the use of simple pharmacological
methods. It is even more troubling to note that women and minority groups h
ave their cancer pain under-treated more frequently. Physicians with the ba
sic skills of assessment and treatment will be able to control the symptoms
in the majority of cancer pain patients. However, there are still some pat
ients who may require other modalities to control their moderate to severe
pain. A thorough understanding of all pain management options will help the
gynaecological oncologist to maintain an acceptable quality of life for th
eir patients throughout the therapeutic and palliative phases of care.