Introducation: Pain intervention procedures are widely practiced and highly associated with adverse events and complications. Many adverse events including complications can occur which are preventable or not. And therefore pain physicians are often involved in these disputes and considered it their destiny during clinical practice. Up to now medical-dispute cases related to pain medicine in Korea has not been well reviewed. This study analyzed the judicial precedents cases to figure out the details of the incidents, economic losses, and the settlement of damages and liabilities were resolved. This reports will be a good reference for pain physicians who are facing the medical dispute related to pain management. 
Methods: Data is based on the cases report by Korea Medical Dispute Mediation and Arbitration Agency from year of 2012 to 2016. 210 cases were disclosed to the public and cases related to pain management were 36 cases among 210 cases. Some cases were limited in patient personal informations (sex, age, medical subject) due to the public information act. 
Results: Seven cases were related to death, loss of consciousness, and brain death. Lumbar spine and upper / lower limbs were the most common area involved with 13 cases, and 18 cases accounted for 50% of total cases. Average time required to legal procedure was 17.7 months. (6 months to 60 months) The highest charged cost was 490,000,000 won with case related to death and lowest were 800,000 wont with case related to misdiagnosis. 
Conclusion: From the results of the qualitative analysis, the major cause is that medical professionals do not consider patient's symptom sensitively. The adverse events and harmness to patients can be prevented, if medical professionals examinate immediately when patients complain. The major cause of the systemic factor is the lack of the communication and cooperation between the process of treatment. Putting the above-results together, future studies to determine root causes of medical accidents should be done to plan against repeat malpractice. Changes in the overall system and procedures will be essential to consistent effort towards building a safer medical environment. 

03 / Review of Korean Medical Dispute Mediation and Arbitration Agency cases related to Pain Medicine