Inclusion Criteria:  English speaking (Ability to interact with virtual reality content may be impacted by inability to understand English) Older than 18 years of age and younger than 89 years of age. Both men and women and members of all races and ethnic groups will be included Planned to undergo major head and neck surgery Oregon Health & Science University (OHSU) with an expected length of stay of two days or more Ability to understand and the willingness to sign a written informed consent document  Exclusion Criteria:  Planned postoperative admission to the intensive care unit (ICU) Social or psychiatric conditions that may interfere with compliance Isolation precautions Active eye discharge Complex head and neck procedure requiring resection reconstruction, or wound care involving the scalp, orbit, or mid-face. This would limit the ability to utilize the VR headset History of seizure or epilepsy History of vertigo or persistent dizziness History of hypersensitivity to flashing lights Use of cardiac pacemaker, requirement for hearing aid on at all times, or have defibrillators Limitations that impair mobility. This would limit the ability to utilize the Fitbit device Use of a walker or wheelchair at baseline. This would limit the ability to utilize the Fitbit device Children Pregnant women Neonates of uncertain viability or nonviable neonates Decisionally impaired adults Prisoners