Aim Our aim is to highlight perceptions of fibromyalgia among health care personell. MethodsA systematic literature review conducted with a deductive approach. FindingsHealth care personell felt insecure because of a lack of understanding which lead to avoiding contact with these patients. Many felt that the fibromyalgia patient was categorised and that they would have been better served with another name of their disease. There was a great distrust against the diagnosis and its aetiology. The patient was perceived as troublesome, illness-fixated and draining the personell of energy. The paradox that the patient is looking so healthy but bearing so much pain was confusing for the health care personell. Conclusions Communication and an empathic encounter was identified as important elements for patient care. The health care personell should try to look past their own perceptions of fibromyalgia and meet the patient with affirmation and respect. Key wordsFibromyalgia, attitudes, perception, health care personell, communication.