What might be “the holy grail” of modern pain education involve? Management of chronic pain that incorporates pain ratings, functional impact, and the patient’s individualized narrative, bringing about a more successful outcome and increased patient satisfaction. We may not think about things that potentially influence pain treatment outcomes and adherence like “personal devaluation” or “invalidation”—examples of internalized stigmas that patients with chronic pain all too often experience. Coupled with implicit and explicit biases that healthcare professionals and patients may bring to the clinical encounter, the matrix of chronic pain management may be more complicated than we think. This session will identify, explore, and confront common biases, stigmas, and social determinants of health that frequently go unnoticed, undetected, and unaddressed in the pain assessment process and treatment plan formulation. These may negatively impact patient adherence, treatment success, and patient and clinician satisfaction.