Pain can be defined simply as the subjective experience of harm in a part of one's body. However, there are multiple forms of pain, including nociceptive and inflammatory pain, that involve a complex set of biological processes. Although the pain system has an important physiological role in preserving the integrity of the body, it can sometimes become dysfunctional and generate prolonged pain states in the absence of noxious stimuli or injuries. Unfortunately, many pathological pain conditions remain poorly understood and resist currently available treatments. Developing new therapeutic approaches to managing pain will undoubtedly depend on a better understanding of the molecular, cellular and circuit mechanisms underlying acute and chronic pain states. In this special Nature Neuroscienceissue on pain, we present a series of reviews by experts in the field that critically appraise recent research on the neurobiology of pain and itch.