Functional pain disorders are frequent and represent a significant burden in primary care consultations. Scientific advances in neuroscience allow us to understand these syndromes from the perspective of perceptual, vegetative, affective and cognitive dysfunction. Simple tools can be useful in the history and clinical examination, looking specifically for positive signs in favor of a functional pain disorder. It is important to maintain a primary care management, following some principles summarized in expert recommendations. Building a solid trust relationship, a salutogenesis approach and medical and therapeutic deceleration («choose wisely») are to be favored.