This study focused on the genes for the μ-opioid peptide (MOP) receptor, which mediates opioid effects, the ABCB1 transporter of opioids, and the calcium channel gene fragment α2δ, which affects the G-protein of the opioid receptor. The effects of these gene variants were in the present study measured in a group of patients with chronic pain and the effects were correlated with the perception of pain, the incidence of opioid side effects, plasma levels of β-endorphin and opioid sensitivity.