Migraine and headache disorders are among the leading causes of disability and morbidity in the world.[1] Migraine is the most frequent primary headache disorder in children and adolescents. Up to 18% of patients in the pediatric emergency room are found to be migraine-related.[2] The diagnosis of migraine in children and adolescents remains a clinical diagnosis. The clinician must obtain a detailed and comprehensive headache history that focuses on the location, quality, severity, and duration of the pain. Migraine in the pediatric population is slightly different than in the adult population, being mainly frontal rather than temporal/occipital and bilateral rather than unilateral. The successful treatment of pediatric migraine includes an individually tailored regimen of both non-pharmacologic and pharmacologic measures.[3] Non-pharmacologic therapies, such as sleep hygiene patterns, diet, managing stress, exercise, and avoiding triggers.[4] Many children with migraine disorder will need some form of prophylactic therapy. Successful migraine management in the pediatric population includes a detailed and thorough history taking from the child and the parents to understand the nature of triggers and how to avoid them. Pharmacologic therapies for migraine prophylaxis have been used successfully in the pediatric population and those including beta-blockers, calcium channel antagonists, serotonin antagonists, antidepressants, and antiepileptics.[4] Only about 25% of patients suffer from only one or fewer migraine attacks per month; the majority of patients, about 61% of patients, had more than 4 major migraine attacks per month. This causes severe impairment in function and daily living during the attack. Similarly to adult migraines, once secondary headache causes are ruled, one can diagnose migraine disorder.[5]