Background] Acupuncture is listed as a treatment modality in the Clinical Practice Guideline for Chronic Headache 2013. However, acupuncture needles are usually made from stainless steel so that acupuncture is not used for patients with a metal allergy. The aim of this case report is to share our positive experience through careful selection of the materials used for acupuncture needles for a migraineur with a metal allergy.[Case] A 48-year-old woman had a chief complaint of headaches with allergies to metal, pollen, fruit, and levocetirizine hydrochloride. She had been experiencing headaches since she was a high school student. When she was approximately 20 years old, she had severe pain in her temple following stiffness of the shoulder and neck two days a week. Two to three years before her first visit to our hospital, the headaches appeared every day, sometimes with other symptoms that included nausea and hypersensitivity to light, sound, smell, and taste that lowered her activities of daily living (ADL). She consulted a doctor at our hospital for her nose and mouth problem for seven months and the doctor asked our acupuncturist to treat her migraine although she had a metal allergy, and we started treatment in our outpatient department. At the first visit, the subject's headaches occurred twice a week. Medication taken: Shosaikoto. Findings: Height 162 cm, Weight 59 kg, BP 151/82 mmHg, PR 70 bpm, No neurological problems. Muscle tone and tenderness: Splenius, Scalene, Levator scapula, Trapezius. Tenderness: C4 spinous process observed.[Progress] Assessment: Migraine without aura. Weekly or bi-weekly acupuncture treatment was provided for improving pain and tenderness. To prevent a metal allergy reaction, we used plastic contact needles to BL10, GB20, GB12, GB21, SI14, and BL43 and attached titanium press tack needles on GB20, GB21, and SI14. Data assessed was based on the number of days the patient experienced a headache using the maximum Visual Analogue Scale (VAS) after each treatment for one month. After the first visit, the subject experienced headaches for eight days in a month with the maximum VAS was 79 mm. A month later, she had two days of headaches per month and a maximum VAS of 7 mm. Two months later, she had three days of headaches per month with a maximum VAS of 16 mm. She did not report any symptoms for the next four months. Further, there was no appearance of metal allergy symptoms.[Discussion and Conclusion] Mild acupuncture using press tack and contact needles can contribute to reduction in migraine symptoms. Hypoallergenic acupuncture materials can be considered as a safe modality for those with a metal allergy.