 Patients will then be randomized to receive either acupuncture with standard general anesthesia care A or to receive standard anesthetic care alone S. Patients, their family members and recovery registered nurses RNs will not know if acupuncture was performed. Intraoperative anesthetic techniques will be standardized and include inhaled inductions with nitrous oxide and sevoflurane. Anesthesia maintenance will be inhaled sevoflurane and the usual pain medication ketorolac will be given intramuscularly prior to emergence. Acupuncture 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 Heart 7 HT7 point and one in each ear at the Shen Men point. The needles will be inserted bilaterally to a depth of 1.8 mm. 