Between 2009 and 2011 a series of 26 articles on evidence-based medicine for interventional pain medicine according to clinical diagnoses were published. The high number of publications since the last literature search justifies an update. For the update an independ 3rd party, specialized in systematic reviews was asked in 2015 to perform the literature search and summarize relevant evidence using Cochrane and GRADE methodology to inform guidelines on interventional pain management. The guideline committee reviewed the information and made a last update on March 1st 2018. The information from new studies and additional observational studies was used to estimate other factors such as side effects and complications, invasiveness, costs and ethical factors, which influence the ultimate recommendations. For the different indications a total of 113 interventions were evaluated. Twenty seven (24%) interventions were new compared to the previous guidelines and the recommendation changed for only 3 (2.6%) of the interventions. This article is protected by copyright. All rights reserved.