Objective: For this study, a pain survey was conducted in the rheumatology outpatient department (OPD) of eight medical centers in Taiwan to determine the prevalence and characteristics of pain in a Taiwanese rheumatology patient population. Methods: Multi-center pain survey was conducted among Taiwanese patients in rheumatology OPDs. Eight medical centers in Taiwan were enrolled from July to September in 2009 to recruit participants. Using a well-designed and validated pain survey questionnaire that was uploaded to touch-screen computers, all questions were answered by the patients themselves and checked by physicians. Results: In all, 8,549 patients were recruited from 8 medical centers in the northern, central and southern regions; 62% (5,316)) of patients had pain, and among them, more than 70% were suffering from moderate to severe pain (VAS >4). Chronic pain with duration of more than three months was found in 64% of the with-pain patients. The most common diseases in this pain survey were rheumatoid arthritis (RA, 24.2%), osteoarthritis (OA, 11.2%), systemic lupus erythematosus (SLE, 15.3%), gout (11.9%), ankylosing spondylitis (AS, 8.2%) and other autoimmune diseases (AID, 12.6%). Of the 5,316 patients with pain, females were predominant (64%). The overall average visual analogue scale (VAS) score was 4.76. The prevalence of pain was increased with age. In Taiwan, the highest pain prevalence (68%), but lowest average VAS (4.5), was observed in the central region. In contrast, the highest average VAS (5.33) was found in the southern region. Severe pain was significant in inflammatory and non-inflammatory joint diseases and in fibromyalgia syndrome, compared with SLE or AID. Conclusion: The pain survey revealed that 62% of Taiwanese patients had chronic rheumatic pain and most of them with moderate to severe pain had received pain management. The pain might have resulted from the inadequate or insufficient treatment. The reason for the differences in pain prevalence and severity in different areas of Taiwan remains unknown and further study is needed.