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Standardized protocols are increasingly used to reduce unnecessary opioid prescription after surgery. Benefits of such a protocol were demonstrated by a retrospective study of 600 surgical patients that compared patient reported outcomes in those who participated in an opioid sparing postoperative pathway versus those who received standard care [1]. Patients in the opioid sparing pathway received fewer opioid pills postoperatively (median 4 versus 20 oxycodone tablets), reported less postoperative pain, and had similar satisfaction. Forty percent of patients in the opioid sparing...