In 1991 the Clinical Trials Subcommittee of the International Headache Society(IHS) published its first edition of the guidelines on controlled trials of drugs in migraine. The guidelines were developed because of a need to improve the quality of controlled clinical trials in migraine and to draw investigator’s attention to the problems inherent in drug trials in migraine. In this article, I will briefly review the guidelines of migraine, tension-type headache and cluster headache.