Background: Fibromyalgia (FMS) is a disease that primarily affects young women in middle age and may lead lifestyle changes due to chronic muscle pain and fatigue. Aim: The aim of this literature review was to identify coping strategies used by patients with fibromyalgia. Method: Goodman's seven steps in Willlman et al (2006) were used as a systematic approach. The databases used for literature search were PubMed, CINAHL, Medline, Cochrane Library and PsychInfo. Ten articles were reviewed independently by two reviewers with the help of protocols by Willman et al (2006) modified by the authors. In the ten scientific articles several different coping strategies used by patients with fibromyalgia was emerged. Results: Based on the studies the coping strategies that evolved were; self-care, social support, structure, positive view, negative view, religion / higher power, self-awareness and escapism. Conclusion: As a nurse it is important to pay attention to the poor strategies and motivate the patient to use the better strategies. Further studies still need to be done on patients with fibromyalgia and how this is handled.