Inclusion Criteria:  Women undergoing elective outpatient gynecologic laparoscopy Able to provide informed consent Planned for same day discharge  Exclusion Criteria:  Chronic pain conditions including, but not limited to: chronic pelvic pain, fibromyalgia, connective tissue disorders, migraines on medication, severe osteoarthritis, sciatica, degenerative disk disease Regular use of analgesia or narcotics. Defined as use of pain medication on most days of the week, most weeks of the month Known depression or anxiety conditions with or without medication Eastern Cooperative Oncology Group (ECOG) performance status 3 or greater Current or recent use of pain modulators such as pregabalin or gabapentin (one month pre-operatively). Allergy or contraindication to acetaminophen or NSAIDs or hydromorphone/narcotics Intraoperative complications : Conversion to laparotomy or mini-laparotomy > 4 cm Intra-operative gastrointestinal or urologic injury Intra-operative hemorrhage or need for blood transfusion Need for admission