The phenomenon of pain is approached from a cultural perspective. The article tries to explain a possible importance of certain living conditions, and hereby a pre-adjusted behaviour, when certain people feel sick and express pain. If the health staff wants to understand the importance of the cultural background for a patient’s expression of pain they must remember that they have to pay attention to the meaning of this particular act according to the patient’s culture. Furthermore they should look for the cultural setting in which the act is performed. Caring for this group of patients not only requires awareness of a difference in behaviour, but also adjustment to this difference in order to avoid preconceived imaginations.