Inclusion Criteria:  Female patients ≥18 years old Undergoing non-emergent exploratory laparotomy with the Gynecologic Oncology service No clinical or laboratory evidence of end organ failure:  If available:  Platelets > 100 Hemoglobin > 8.0 Serum creatinine <1.5 INR <1.3 All other lab values obtained as part of general preoperative work-up must be ≤1.5x normal laboratory value.  Exclusion Criteria:  Patients not giving consent to participate in the study Unable to complete self-report pain questionnaire Moderate to severe kidney or liver failure per lab criteria as outlined Inability to hold anticoagulant medications for a safe amount of time per current ASRA guidelines Contraindication to lumbar puncture or epidural placement, per acute pain management service such as known coagulopathy or history of clotting disorders, history of scoliosis or lumbar fusion, infection at site of entry, or current systemic infection Complete bowel obstruction Contraindication to intravenous lidocaine No known pregnancy and not lactating. Currently septic Patient currently taking more than 30 MME a day preoperatively (for >30 days) BMI >50kg/m2 Intolerance or contraindication to receiving non-steroidal anti-inflammatory drugs or acetaminophen