 Pain control following autologous BR is multimodal, but predominantly relies on opioids. Narcotics provide effective analgesia, but have a well-known side effect profile that includes drowsiness, nausea, vomiting, sedation, central nervous system and respiratory depression. Each of these potential adverse effects limits patients mobility after surgery. Respiratory depression is particularly disadvantageous, as these patients have undergone major abdominal musculature dissection that also disrupts their mechanics of breathing 10 . This may have the counterproductive effect of limiting patient mobilization, and ultimately delay discharge. In a health care system where resources are at a premium and costs are climbing, any inexpensive intervention that allows for an earlier and safe discharge is worthy of consideration. 