At a time when insurgencies have been making headlines across south Asia, it is useful to identify some historical and geographical patterns of such conflicts in Pakistan. State security forces have been engaged in counter-insurgency operations for 20 out of the last 35 years, and currently face two sets of insurgencies. A review suggests that there are a few positive commonalities between the various insurgencies in terms of the identity of the insurgents and their support bases, their organisational structures, ideologies, demands or methods. There are interesting patterns, however, in the state's approach to counter-insurgency, and in where these otherwise disparate insurgencies fit into the broader body politic of the country.