 Study Design We plan to explore this question with a randomized double blinded trial of acupuncture in children who are undergoing myringotomy tube placement. Patients will be randomized to receive either acupuncture immediately after anesthesia induction A or to receive standard anesthetic care only S. Patients, their family members and recovery registered nurses RNs will not know if acupuncture was performed. The researchers observing the patients in the PACU will also be blinded to whether or not the subject received acupuncture. Intraoperative anesthetic techniques will be standardized, including administering the usual pain medication of ketorolac 0.5mgkg given intramuscularly to each patient prior to emergence. Needles will be placed after anesthesia induction and removed prior to leaving the operating room. A total of 4 needles will be placed, one in each wrist at the HT7 point and one in each ear at the shen men point. Emergence delirium will be assessed with the Pediatric Anesthesia Emergence Delirium PAED scale. A follow up phone call will be made on the first post-operative day POD 1. We will assess continued emergence delirium after discharge from the PACU, as well as a brief assessment on sleeping patterns the night after surgery. A second follow-up phone call will be made one week after surgery. During that call, we will ask about the childs behavior and sleep patterns since the time of surgery. 