In the field of spine care one of the most difficult and expensive management challenges is the patient with a chronic pain syndrome. The rehabilitation of such a patient requires the services of a team of trained professionals. Under the International Committee for Diagnosis (ICD) coding (Version 9) there is not a diagnosis for the “chronic pain syndrome” (or regional complex pain disorder). The closest possible match is that for “Low Back Pain”, a common problem afflicting about 80% of the population with transient incapacitation during their lifetime. There could not possibly be 2 more disparate diagnoses in spine care. When garbage goes in, garbage goes out.