 This study examined medical disputes related to pain management in Korea between 2012 and 2016. It found that orthopedic surgeons were most frequently involved in such disputes, followed by doctors specializing in internal medicine, neurology and psychiatry. Most disputes concerned pain in the lumbar region, lower extremities and infections. The average length of time spent resolving disputes was 8.0 to 17.5 months, and the average settlement amount was 1,800,000 to 15,000,000 Korean won. The most common causes of dispute were causal relationship and medical malpractice. This study suggests that more guidelines and recommendations are needed for pain management, particularly those focused on medical legal cases. This article was authored by Joo Hwan Lee, Jaekyung Song, Yoon Hee Kook and others.