Low back pain (LBP) is the leading cause of disability worldwide and is often associated with costly, ineffective, and sometimes harmful care. What are the primary drivers of disability and poor medical care? Misinformation, disinformation, and commonly held but unhelpful beliefs, leading to greater levels of pain, disability, work absenteeism, medication use, healthcare seeking, over medicalization, and iatrogenic harm. Unhelpful beliefs are common in people with and without LBP and can be reinforced by social history, media, industry groups, and even well-meaning clinicians. In this presentation, we will identify 10 common unhelpful beliefs about LBP and outline how they may influence behavioral and psychological responses to pain as well as medical management of LBP. We will also counter unhelpful beliefs with 10 important facts about LBP, calling on clinicians to incorporate these into their interactions with patients.