Dang S, Duffy A, Li JC, et al. - In this prospective, multiphasic study, researchers developed evidence-based guidelines for postoperative pain management within the institution. They examined opioid prescription and consumption as well as pain trends for common otolaryngologic procedures in this first phase of the project. Individuals (n = 161) who had procedures between July 2018 and February 2019 were surveyed on their postoperative use of opioids and pain from the day of discharge to the first clinic visit. A total of 19,748 morphine milligram equivalents (MME) were prescribed: 8,588 MME were used, leaving 11,159 MME unused. Positive predictors of opioid consumption in postoperative patients were male gender, smoking (current and former), and the use of psychiatric medication. Over 50% of prescribed postoperative opioids at the institution went unused. In nonmucosal surgeries, this was the most pronounced. This should be taken into account in the postoperative pain management to minimize unnecessary opioid prescriptions. The authors are in the process of developing prescribing recommendations to be implemented within the institution based on the findings and review of current literature.