Aim <p>Pain is a common public health concern and the primary reason for seeking healthcare. Co-design is a promising approach for developing person-centred pain management interventions. This review aims to explore the characteristics of co-design in pain management interventions and research.</p> Subject and methods <p>This scoping review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines. Systematic searches were conducted in MEDLINE, EMBASE, CINAHL, PsycINFO, Web of Science, and Scopus using key concepts related to pain, co-design, and intervention. Descriptive, thematic, and narrative synthesis were used to present the findings.</p> Results <p>Forty-seven peer-reviewed articles (<i>n</i> = 44; 94%) from high-income and (<i>n</i> = 3; 6.0%) from low- and middle-income countries were analysed. Thirteen different terminologies were used to describe the collaborative process in the studies. Co-design was commonly conducted among older adults with chronic pain (<i>n</i> = 34). Self-management strategies (<i>n</i> = 18), educational interventions (<i>n</i> = 6), multimodal interventions (<i>n</i> = 3), and palliative care (<i>n</i> = 2) were the co-designed interventions developed through co-design studies. The majority (<i>n</i> = 16) were technology-based interventions.</p> Conclusion <p>The review highlights the significant variability in terminology and how co-design is utilised in pain management studies.&#xa0;Low- and middle-income countries were&#xa0;underrepresented in the included studies. The results of this review underscore the need for a standardised co-design guide for future research, engaging&#xa0;co-design partners more meaningfully, and expanding co-design interventions and research in low- and middle-income countries to address global disparities in pain management.</p>