Carotid vascular pain has been misdiagnosed in the past as various other conditions. Various etiologies have been assigned to it without clinical or experimental evidence. Haphazard treatment using ganglion-blockers, nicotinic acid, allergy hyposensitization and steroids have been instituted based on imaginary causes of the problem. This paper intends to show that there is no known cause for carotid pain. A simple, effective, safe and inexpensive form of treatment is presented; namely, explaining the problem to the patient, allaying their apprehension and using aspirin in a more scientific fashion. A three-year follow-up is presented.