Managing Pain Before Laparoscopic Surgery
This M‑PALS patient education page explains what to expect and how to manage pain before, during, and after laparoscopic surgery. The goal is to help you recover comfortably and safely using evidence‑based, opioid‑sparing strategies.
What is laparoscopic surgery?
Laparoscopic surgery uses several small incisions and a camera instead of one large incision. This often leads to faster recovery and less pain, but some discomfort is still normal.
What pain should I expect after surgery?
Pain after surgery is normal and temporary. It should improve step by step. The goal of pain management is to make pain tolerable while keeping you safe.
Learn more: Understanding pain expectations
Most postoperative pain is worst in the first one to two days after surgery, and then begins to get better. Pain after surgery will happen as part of the recovery process, but it should not stop you from doing the things you need to do to recover healthily, such as eating, drinking and walking.
Download journal for tracking pain and setting pain management goals
Before surgery: how can I prepare?
You will meet with your surgeon and nurse 1–6 weeks before surgery. They will help you set recovery goals and review pain management options. If you currently use opioid pain medicine, your doctor may help you reduce it safely before surgery.
Learn more: Preparing for pain management after surgery and setting recovery goals
Setting yourself up for success after surgery can begin weeks before the procedure. Healthy habits before surgery can help to minimize pain and speed recovery after surgery.
Some examples are:
- Stay active. After surgery, getting back to your normal level of activity can help you recover quicker and minimize your pain. Plan ahead by staying active and keeping your body as strong as possible.
- Eat well. Protein and other nutrients are important for healing, and faster healing means less pain. Eat healthy, well-balanced meals and focus on getting enough protein for your body's needs.
- Make a plan with friends and family. It’s ok to ask for help after surgery. Talk to your friends and family about your plan to manage your pain. Ask for help when you are in pain. You will experience some pain and will need help with daily chores.
- Set personal recovery goals. You should set personal recovery goals and keep a journal of your progress towards reaching them.
Some examples include: doing household chores, walking the dog, getting mail, standing without pain, walking around for 5 minutes, attending an important social event, sleeping at night without waking up because of pain, returning to your usual job, etc.
Day of surgery: what happens?
You will meet your surgical, anesthesia, and nursing teams. You may receive pain‑relieving medicines before surgery. A nerve block may be used to numb the abdominal area for about one day.
Learn more: What is a nerve block?
A nerve block is a pain-control technique used during and after surgery. An anesthesia doctor gives an injection of numbing medicine near specific nerves that carry pain signals from the surgical area to your brain. By “blocking” these signals, you feel less pain after surgery.
Nerve blocks are commonly used with laparoscopic surgery and are part of a multimodal pain management plan, meaning several methods are used together to control pain. The numbing effect usually lasts several hours up to about one day. During this time, the area may feel numb, heavy, or tingly.
Nerve blocks can help you:
- Have less pain after surgery
- Need less opioid pain medicine
- Move, breathe deeply, and recover more comfortably
As the block wears off, it is important to start using your other pain-control medicines and strategies as directed. If you have questions or notice unusual or long-lasting numbness, contact your care team.
After surgery: managing pain in the hospital
Pain is expected but should not stop you from walking, eating, or using the bathroom. Tell your nurse if your pain changes. Non‑opioid medicines and movement are used first.
Learn more: Pain control after surgery
Your surgery team will have medications scheduled and as-needed for your pain. Don’t forget about simple things like ice packs, sitting with a good posture, and moving throughout the day!
You likely will feel some pain in your shoulder within the first two days after surgery. Notify your care team if this happens.
This is because of gas (CO2) that was used during the surgery. The pain will pass quickly as the gas is absorbed. For relief, lie flat and try increasing your physical activity, such as walking around for longer and longer.
Going home: pain control goals
Your pain should allow you to walk around your home, eat and drink, and rest comfortably. Use pain medicine only as needed to meet these goals.
Learn more: Recovering safely at home
Start with over‑the‑counter medicines such as acetaminophen or ibuprofen if they are safe for you. Opioids are used only when needed and for the shortest time possible. You may be prescribed opioid pain medicine based on your pain needs at the hospital after surgery. Follow the directions that come with this medicine and take it as needed to meet the goals described above.
DON’T take opioid pain medicine if you have NO pain, or if your pain is mild.
Opioid pain medicines can cause constipation. Take a stool softener daily if needed.
Take over-the-counter pain medicine, such as acetaminophen (Tylenol), naproxen (Aleve) or ibuprofen (Advil or Motrin), as directed by your doctor. This medicine can upset your stomach. Take it with food and a full glass of water to reduce your stomach upset.
Ice or heat packs, comfortable positioning, walking, gentle movement, and distractions like music or movies can all help reduce pain.
Learn more about opioids and non-opioid medication strategies
Download journal for tracking pain and setting pain management goals
How to reduce and stop opioid pain medicine
Begin reducing opioids within 48 hours after surgery. Increase time between doses, take smaller amounts, and replace doses with non‑opioid medicines. Stop opioids once you can meet recovery goals without them.
What to do with leftover opioid pills
Never save or share opioids. Dispose of unused pills at a safe medication drop‑off location. Call your local pharmacy if you are unsure where to dispose of unused opioids.
When should I call my care team?
Contact your provider if pain is severe, getting worse instead of better, or preventing you from walking, eating, or sleeping.