NeurogesX (NGSX) 10-K 2010 FY Annual report

Exhibit 23.1

Consent of Independent Registered Public Accounting Firm

We consent to the incorporation by reference in the following Registration Statements:

(1) Registration Statement (Form S-8 No. 333-143718) pertaining to the 2000 Stock Incentive Plan, the 2007 Stock Plan and the 2007 Employee Stock Purchase Plan of NeurogesX, Inc.,

(2) Registration Statements (Form S-8 Nos. 333-162942, 333-150615 and 333-170491) pertaining to the 2007 Stock Plan and the 2007 Employee Stock Purchase Plan of NeurogesX, Inc.,

(3) Registration Statement (Form S-3 No. 333-150614) of NeurogesX, Inc. and in the related Prospectus, and

(4) Registration Statement (Form S-3 No. 333-168805) of NeurogesX, Inc. and in the related Prospectus

of our report dated March 29, 2011, with respect to the consolidated financial statements of NeurogesX, Inc. included in this Annual Report (Form 10-K) of NeurogesX, Inc. for the year ended December 31, 2010.

/s/ Ernst & Young LLP

Palo Alto, California

March 30, 2011