This document discusses holistic approaches to managing cancer pain beyond just opioids. It outlines how pain affects the endocrine, metabolic, cardiovascular, pulmonary, gastrointestinal and musculoskeletal systems as well as psychological factors. A holistic assessment considers physical, social, psychological and spiritual needs of the patient. Non-drug approaches to pain discussed include cutaneous stimulation, distraction, relaxation, art therapy, acupuncture, therapeutic touch, TENS, and humor. While medications should be the primary therapy, non-drug methods can help manage pain by improving mood and reducing distress.