Inclusion Criteria:  Patients between the ages of 18 and 89 years of age  Patients undergoing the following outpatient procedures at a LLUHS associated surgical facility:  total or partial thyroidectomy parathyroidectomy parotidectomy submandibular gland excision neck mass excision facial mass excision MOHS defect repair excision of cutaneous lesions Other surgeries may qualify and will be assessed on a case by case basis.  Exclusion Criteria:  Patients under 18 years old or older than 89 years old Those allergic to Hydrocodone, Acetaminophen, or NSAIDS Patients who are pregnant Patients with chronic medical conditions including hepatic/renal disease that precludes their ability to utilize the study medications.