Inclusion Criteria:  Scheduled for primary hiatal hernia repair Adult 18 years of age or older Undergoing minimally invasive surgical technique  Exclusion Criteria:  Recurrent hiatal hernia Children under the age of 18 years Undergoing open or hybrid surgical technique History of psychiatric disorder or chronic pain Has a post-operative complication (Grade > I on Calvien Dindo classification) Allergy to standard pain medication regimen (local anesthetics Marcaine, lidocaine, and epinephrine; morphine; oxycodone; Tylenol)