Inclusion Criteria:  Ages 12 -18 years Scheduled to undergo surgery anticipated to cause moderate to severe pain with expected length of stay > or = to 2 days Able to read, understand and speak English Patients requiring management by the Acute Pain Service Possession of a mobile device/computer available for study participation  Exclusion Criteria:  Outside the age range (< 12 or > 18 years) Non-English speaking History of significant developmental delay, uncontrolled psychiatric conditions associated with hallucinations or delusions, or neurological conditions (especially epilepsy and/or significant motion sickness/nausea/vomiting) History of vertigo, dizziness, seizure disorder, and/or severe motion sickness History of chronic pain Are currently using opioids and or benzodiazepines for the management of pain Are actively experiencing nausea or vomiting Conditions that would preclude the application of the VR headset, such as craniofacial abnormalities or surgeries of the head and neck Previous participation in this study