Dr Gerald M Sacks advises pain management practitioners that OIC must be a normal part of each patient’s visit. It is the responsibility of the practitioner to ask patients about the quality of their pain, how often it occurs, and what they are doing to increase their pain, whether pharmacologically, using physical therapy modalities or lifestyle changes. The practitioners are expected to spend a fair amount of time in judging how their OIC is and what they can do to improve it. It is equally important to understand where the patient stands. A good practitioner will evaluate the diagnosis at every visit and will determine the appropriate treatment. Furthermore, Dr Gerald M Sacks advises patients to be proactive in addressing OIC. Mostly practitioners as well as the patients are aware of the fact that opioids cause constipation. However, there is a misunderstanding that it is not treatable. According to Dr Sacks, the practitioners need to focus on the diagnosis. He believes that even