 Interestingly, anxiety prior to surgery has effects that extend into the intraoperative, acute recovery and subacute recovery timeframes. Patients with high levels of preoperative anxiety have been found to require greater anesthetic dosages 4. There is a higher incidence of emergence delirium in children with higher levels of preoperative anxiety 5, 6. These patients also have with a higher incidence of postoperative pain and require more analgesic medications 7. Furthermore, there are well documented maladaptive behavioral changes that can occur in 30-54 of children two weeks following surgery 8. These include generalized anxiety, nighttime crying, enuresis, separation anxiety, and temper tantrums. Twenty percent of these children maintain this behavior at 6 months and 7 persist at 1 year after the operation 9. High preoperative anxiety levels correlate with these behavior changes 2, 5, 8,10. 