Inclusion Criteria:  Ages 6 months - 18 years Give consent/parental consent to participate in study Patients undergoing tonsillectomy and adenoidectomy  Exclusion Criteria:  Participants who do not consent or have parental consent Patients who require urgent/emergent intervention Patients who undergo additional combined surgical procedures with separate incisions (in addition to the adenotonsillectomy) Patients with known difficult airway, clinical hemodynamic instability, coagulopathy, chronic pain history, chronic pain medication use, and unrepaired congenital heart disease Patients under age 6 months