Context: Migraines are estimated to affect about 12% of the adult population in Western countries. Migraines have negative effects on physical and psychological health and can lead to hospitalizations, loss of productivity, disability, and individual, economic, and societal burden. Only about 21% of persons with migraines have reported a formal diagnosis by a healthcare professional. Limited evidence from small qualitative studies indicates that primary-care providers (PCP) have a low level of comfort with diagnosing migraines and low awareness of specific recommendations for managing patients with migraines. Yet, in many communities where access to specialists is limited, PCP’s including family physicians, are the only source of migraine care. Therefore, it is important to understand family and primary-care physician comfort in migraine management. Objective: To understand the current practices adopted by primary care around diagnosis and management of migraines including migraine-presenting symptoms, diagnosis, and treatment. To inform future primary care-based strategies in research, education and patient care for migraine. Study Design: The American Academy of Family Physicians National Research Network (AAFP NRN) and Robert Graham Center, funded by Lilly, conducted a survey investigating physicians’ current practices around diagnosis and management of migraines. The AAFP partnered with 8 additional PBRNs to disseminate this survey. Setting or Dataset: Physician members of PBRNs. Population studied: 80 family and primary care physician members of 9 PBRNs were included in this study. Other clinicians and specialized physicians were excluded. Outcome Measures: Knowledge and attitudes around migraine including diagnosis, management and continuing medical education. Physician comfort with diagnosis, treatment, and management of migraine in primary care. Current needs for research, education, and resources to support an improvement in comfort and satisfaction.