Migraine remains the second leading cause of disability worldwide. Typically, a diagnosis is based on the patient's medical history and physical examination, and imaging is unnecessary. Migraine can be categorised based on the presence or absence of aura and the frequency of headaches. The number of headache days affects whether a patient suffers from episodic or chronic migraine. Migraine treatment can be used to treat the migraine and prevent its occurrence. In this article, we take a pragmatic, up-to-date approach to migraines from a practical standpoint.