Migraine attacks are the most common complaint that leads patients to seek medical care. The treatment of migraine includes various medications depending on acute or preventative therapy. In the past decade the use of using botulinum Toxin Type A (BoNT-A) or Botox ® has gained momentum in the treatment of many pain disorders including migraine headaches. The following case study presents a successful case implementing BoNT-A in the treatment plan.