Tics and gilles de Tourette syndrome continue to provide challenges in terms of diagnosis and therapy. While not being serious problems, they are a troubling topic for parents, educators, and teachers because they begin in childhood. But, when it comes to the observation and care of this group of patients, the majority of family practitioners, pediatricians, neurologists, and psychiatrists are not overly enthused. The division of tics into primary (idiopathic) and secondary (symptomatic) categories allows for the early distinction between those tics whose pathogenesis is obvious (secondary) and those tics whose mechanisms of occurrence are still poorly understood (primary) and the focus of ongoing clinical research. While it is important to accurately diagnose simple primary tics in children, just like any other movement condition, they eventually go away on their own without treatment. These can be readily concealed, willfully suppressed, or perceived as "mannerisms" even if they remain throughout adulthood. gilles de Tourette syndrome, which comprises numerous tics, including vocalizations, as well as psychiatric comorbidities that set limitations and social/professional hurdles for patients, represents a more serious issue in this regard. Today, it is possible to significantly improve a patient's quality of life through the proper attitude of family members, educational staff, assessment of obsessive-compulsive behavior, and appropriate drug and treatment selection, including deep brain stimulation.