Intrathecal drug delivery is a well-established intervention for chronic pain and severe spasticity with over 3 decades of clinical use. Safe and effective utilization of this technique requires solid cognitive and technical skills. The purpose of this course will be to instruct clinicians on these techniques though a case-based scenarios and hands-on learning stations. Strategies to improve patient selection, trialing, implantation, post-implantation management, troubleshooting, and therapy optimization will be discussed. Multiple medical specialists would find this course of interest including neurology, neurosurgery, anesthesiology and physical medicine and rehabilitation. This course will also be of interest to many allied health professionals such as physical therapy, occupational therapy, nursing, pharmacy, case management and bioengineering.