Background: Babies admitted to the Neonatal Units (NNUs) are exposed to a number of potentially painful procedures. Moreover, the babies are unable to communicate their suffering from pain. As a result, they may not receive adequate pain relief. Further more, the assessment of pain remains more complex and challenging for staff working on the NNU.Aim: A questionnaire survey was carried out to evaluate the current practices of pain assessment and management on babies admitted to the NNUs in the United Kingdom (UK).Methods: Questions were asked pertaining to the use of analgesia during potentially painful procedures and ventilation. The use of pre-medication for intubations, pain assessment tools and existence of written pain policy were also enquired.Results: 60% responses were received. Results showed use of sucrose prior to or with phlebotomy (83%), cannulation (81%), heel prick sampling (79%) and nasogastric tube placement (40%). 93% of the units always used pre-medication prior to elective intubations. Only 65% of the units “always” administer parental pain relief medication during ventilation. 41% of the units regularly assess pain in babies admitted to the NNU while 50% have written pain policy.Conclusion: To the best of our knowledge, this is the first report appraising pain management across NNUs in the UK. Our data demonstrates the diverse practice in the field of neonatology. It is about time to produce a unified guideline encompassing regular assessment and management of pain on all babies admitted to the NNUs.