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5 doses of Oxycodone per patient. After elimination, 270 patients underwent appendectomy and 3 patients (1.1%) received opiate prescriptions for an average 0.05 doses of Oxycodone per patient. Patients contacted by phone expressed no pain relief issues and no patients later needed opiates. CONCLUSION Using a step-wise process we have eliminated the use of opiates for post-discharge pain in children undergoing laparoscopic appendectomy. This intervention has resulted in the elimination of 4,035 doses of Oxycodone from the community ove