Psychosomatic art therapy in cancer pain management is based on the view that pain is not a purely physical phenomenon, but rather a multidimensional experience that is formed from the interaction of sensory, emotional, cognitive, behavioral, and social processes, and therefore its management can also benefit from complementary psychological interventions in addition to medical treatment. Cancer-related pain may occur as a result of the disease itself, inflammation, tissue damage, surgery, chemotherapy, radiation therapy, or other therapeutic processes, and may intensify at the same time as anxiety, fear, depression, fatigue, sleep disturbances, and feelings of helplessness. In this situation, the experience of pain is not limited to the intensity of the sensory messages, but also the meaning and interpretation of pain, the extent of attention to it, the expectation of the future, and his emotional state can also affect the perception of pain. Using media such as painting, drawing, collage, music, movement, and creative writing, psychosomatic art therapy provides a space for the patient to represent the experience of pain in a symbolic and visible way and to better understand the connection between bodily sensation and emotional experience. Turning pain into color, shape, line, sound, or narrative can help the patient organize and express an experience that is sometimes beyond the capacity of verbal expression. Psychologically, this process can increase emotional awareness, reduce avoidance, facilitate the processing of emotions, and create an appropriate distance between the person and the pain experience. When the patient is able to describe or visualize their pain, they may better recognize the difference between the sensory components of pain and the emotions that accompany it, and as a result, feel less disturbed than the physical experience. One of the possible mechanisms of art therapy is to direct attention; creative activity can shift a person's attention from continuous pain monitoring to the process of creation and reduce the intensity of cognitive focus on the painful stimulus. This does not mean eliminating the pain message or ignoring its medical cause, but it can affect the way pain is processed and experienced. Anxiety is also an important factor in the pain cycle, as the expectation of pain and the fear of its escalation can increase arousal and attention to physical symptoms, making it more difficult to experience pain. Artistic activity can help reduce some of this arousal and increase the sense of control by creating a structured, predictable, and participatory environment. The feeling of control is especially important, as cancer patients may encounter conditions during treatment where decisions about their bodies and daily lives are largely influenced by the medical process. In artistic activity, the patient again has the opportunity to choose, make decisions, and create, and this experience can help strengthen the sense of agency. At the psychosomatic level, the reduction of emotional stress may be associated with a reduction in some stress-related responses and changes in autonomic nervous system activity, but this relationship should be considered probable and condition-dependent, and art therapy alone cannot be considered a direct cause of physiological changes. The available evidence on art interventions in cancer patients has reported a reduction in anxiety, psychological distress, and perceived severity of some symptoms and an improvement in quality of life in some studies, but the findings are not the same in terms of the type of intervention and the extent of effectiveness. Art therapy can also be used alongside medical and pharmacological interventions to help the patient cope with pain, and is especially important when the pain is accompanied by fear, anger, frustration, or feelings of loss of control. In some sessions, the patient may be asked to draw the shape or color of their pain, show how it changes over time, and then discuss the feelings and thoughts they are experiencing at the same time. This activity can help create a personal map of the pain experience and increase the possibility of identifying emotional triggers and aggravating situations. Music can also play a complementary role in reducing tension and creating calm with rhythm, structure, and attention regulation, while creative writing can allow for the expression of fear, anger, grief, and worry about the future. In patients where physical changes caused by surgery or treatment have disrupted body image, art can be a means of rebuilding a person's relationship with the body and gradually accepting physical changes. One of the important applications of this approach is to pay attention to the meaning of pain, as pain in the cancer experience may be accompanied by feelings of threat, loss, fear of death, or worry about the future, and simply reducing the severity of the symptom is not enough to improve the patient's experience. Art therapy can create a space for making sense and reconstructing the narrative of the disease, allowing the patient to place their experience in a more personal and understandable framework. However, the use of art therapy in pain management requires serious attention to its limitations and should not be used as a substitute for pharmacical, medical, or palliative care. The severity of pain and its causes should be assessed by the treatment team, and any sudden or significant changes in pain require medical attention. Other limitations include heterogeneity of art therapy protocols, differences in the type of cancer and treatment methods, differences in individual abilities in artistic activity, and difficulty in independently measuring the effect of art activity. Also, part of the improvement may be due to therapist support, social connection, attention received, or increased activity and participation, and separating these factors from the specific effect of art therapy requires careful research. It is suggested that future interventions be designed based on a comprehensive assessment of pain, distress, anxiety, sleep quality, emotion regulation, and quality of life, and that valid tools should be used to investigate changes. Controlled studies with larger samples, long-term follow-up, and simultaneous use of psychological and physical indicators can provide more accurate evidence about the mechanisms of this approach. In general, psychosomatic art therapy can be used as a complementary intervention in cancer pain management, through emotion regulation, attention directing, increasing physical self-awareness, strengthening the sense of control and meaning-making, making the experience of pain more understandable and manageable for the patient, and paying attention to the link between emotional experience and body perception in the process of comprehensive cancer care.