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Drawing on the case of a 13-year-old boy, the writer discusses the nature of the complaint in its relationship with the therapeutic act. The somatic complaint is considered in its diverse disruptive aspects which redefine the patient’s personal vision of his body and polarize the teams in their diagnostic and therapeutic acts. Accentuating the difference between the need and the offer of care enables a time for collective deliberation to be created in order to adopt a pertinent therapeutic position. Linking pediatric and child psychiatric care enables the complaint to be analyzed while accepting it cannot, as a whole, be resolved. The clinician, never free of emergencies, can describe the path to successive services which stems from an always personal and subjective point of view. Treatment of the symptoms by analytical act bypasses the classic division between the symptomatic or technical approach and the global or humanist approach.