Inclusion Criteria:  Age over 18 years and less than 80 years Undergoing video-assisted thoracoscopic surgery (VATS) procedure BMI less than 40  Exclusion Criteria:  Unable to provide informed consent Non-English speaking Pregnant BMI greater than 40 Video-assisted thoracoscopic surgery pleurodesis subjects Patients with pre-existing chronic pain Opioid tolerance Pain syndromes including fibromyalgia, regional pain syndrome or post therapeutic neuralgia in a thoracic distribution Allergy to the study medication Patients with infectious disease Patients with impaired coagulation Severe hepatic disease Incarcerated