Inclusion Criteria:  All adult patients being considered for CP surgery by the investigating physician at the Life Bridge Health-Sinai Hospital of Baltimore Able to read and speak English, or have LAR who reads and speaks English Patients who need cranial reconstruction  Exclusion Criteria:  Patients affected by comminuted skull fractures, Patients affected by osteomyelitis, Patients with skull neoplasm and therefore not be candidates for autologous CP Patients who would need to be allocated to one group over the other due to clinical presentation