 Effective post-operative pain management is a crucial component of a patients surgical course following Urogynecologic surgery. Narcotics are the cornerstone for post-operative analgesia with a frequent re-dosing requirement, a lengthy list of side effects and adverse reaction risks5. The colorectal, orthopedic and general surgery literatures have reported on an extended-release bupivacaine liposomal injection, Exparel, which remarkably reduces acute post-operative pain; however, this medication has not yet been reported within Urogynecology literature. 