Expectations and Pain Control Advancement In surgeRy: the REPAIR Trial

Opioid use disorder is a national health emergency. Opioid prescribing practices to treat post‐operative pain have contributed to the problem. This study seeks to explore the effects of changing pre‐operative education & increasing patient input regarding post‐operative receipt of opioids. The study will explore the effects that change in pre‐operative education may have on post‐operative opioid consumption juxtaposed upon return to physical activity using a randomized trial design. Women undergoing pelvic floor reconstructive surgery will be randomized to either (i) standard pre‐operative education (ii) modified, patient‐centered pre‐operative education. The investigators will monitor both post‐operative opioid consumption and return to physical activity. The investigators hypothesize that investigation of patient's post‐operative pain experiences and their inclusion in the educational and the shared decision‐making process will likely decrease post‐operative narcotic use without affecting return to function. Our long‐term goal is to develop a pragmatic and balanced approach to address pain concerns, decreasing the medical community's contribution to the opioid epidemic.