Inclusion Criteria:  outpatient pediatric surgery patients between July 2016 and October 2016. Children, (ages 3-10 years) undergoing low-risk outpatient surgical procedures, including, but not limited to, tonsillectomies, adenoidectomies, etc., for which a masked induction was planned guardians of the children had to be present and consent.  Exclusion Criteria:  patients undergoing ear tube placement/removal (due to the short duration of the procedure) patients requiring premedication patients with physical or mental disabilities rendering it difficult to use the distraction device non-English speaking caregivers (due to the language barriers during the post-operative phone calls). patients without guardians providing consent