Meta-analytic results confirm acute pain hyposensitivity as a stable phenomenon in borderline personality disorder (BPD)-diagnosed individuals compared to healthy controls. This finding is no unexpected novelty per se, especially when considering that two thirds (that is, 18) of the 27 studies included in Fales et al. (in press) were already included in Koenig et al.’s (2016) meta-analysis. ... [Show full abstract] However, the author of this commentary is not aware of any study that specifically focused on pain sensitivity in individuals with a diagnosed ICD-10 personality disorder other than BPD. Prospective studies (a) have to answer the question about specificity and (b) need to reveal the underlying neurobiological and psychological mechanisms, which in turn (c) have to be integrated with a dimensional perspective of personality pathology.