Inclusion Criteria:  Formal diagnosis of Autism Spectrum Disorder, Asperger's Syndrome, or pervasive developmental disorder NOS Presenting for outpatient surgery at Dayton Children's Hospital main campus  Exclusion Criteria:  A coping plan is not able to be obtained prior to day of surgery An American Society of Anesthesiology (ASA) risk score greater than 3 Non-English speaking Refusal of participation by guardian