Zeeni C, Chamsy D, Khalil A, et al. - Researchers investigated how postoperative Trendelenburg position influences shoulder pain following gynecological laparoscopic procedures. They tested whether a significant reduction in postoperative shoulder pain and analgesic consumption can be achieved by maintaining the patient in Trendelenburg for 24 h postoperatively. They prospectively randomized 108 patients to the control group and intervention group. Control group patients underwent standard gynecologic laparoscopic procedures; then following passive deflation of the pneumoperitoneum at the completion of the operation, the patients were placed in supine head up position in the postanesthesia care unit (PACU) and received common postoperative care. In the intervention group, the patients were subjected to the same maneuver but were placed in a Trendelenburg position (20 °) once completely awake and cooperative in the PACU and maintained this position for the first 24 h. The intervention group vs the control group demonstrated significantly lower numerical rating scale pain scores at 12 h and significantly higher improvement in postoperative shoulder pain between the time of arrival to PACU (time zero) and 12 h postoperatively. Overall, findings revealed the benefits of Trendelenburg position, which is an easy non-pharmacologic intervention, for decreasing postoperative shoulder pain after gynecologic laparoscopic surgery.