Description: Virtual Presentation by Karen Boretsky, MD & Sam Riega, MBA, RN, BSN. Objectives: Understand the problem of surgery as a gateway to persistent opioid use; Discuss development of opioid induced hyperalgesia in the post-surgical patient; Discuss the complexity of pain pathways and why multiple analgesic techniques improve outcomes; Discuss historical observations of opioid induced hyperalgesia; Understand the challenges of managing opioid induced hyperalgesia; Discuss opioid sparing alternatives to opioid monotherapy. Author(s): Karen Boretsky, Sam Riega. Title: Closing the Door on Surgery as a Gateway to Persistent Use of Opioids Series Title: Alternative Surgical Opioid Use: Curriculum Introduction. Part One of the series. Resource Type: Webinar Format: Video Length: 55 minutes URL: https://youtu.be/549nDOfWalw https://www.c-who.org/wp-content/uploads/2021/04/Module-3_-OIHyperalgesia-v2a.pptx (PowerPoint) Sponsored by: Amedco LLC; C-WHO