The patient is at the center of the treatment roadmap for fibromyalgia, which extends beyond the primary care physician to include multidisciplinary experts and community resources. The physician must create a framework in which a full treatment strategy can be articulated with the input of the patient. Physicians need to help patients with fibromyalgia educate themselves about their illness and its treatment and understand that treatment success depends on patients’ engagement with all components of the treatment roadmap.