Tonsillectomies are one of the most common procedures in the United States and are considered one of the most painful procedures with most individuals rating pain 8-9 out 10. Pain control can be challenging in the pediatric population. There is still a sentiment that non-opioids may not provide adequate pain control and may increase likelihood of post-operative bleeds. More concerning is that even with black box warnings, clinicians still prescribe codeine to their pediatric patients. The goal of this session is to establish evidence-based strategies to provide perioperative pain control and minimize the risk of abuse after tonsillectomy This session was presented last year in a panel discussion format and feedback was positive. This session will continue to provide evidence-based strategies in pediatric pain control that the audience can adopt. This panel will review the harm of opioid use in pediatric population with a focus this year on health disparities. The remainder of the session will focus on providing up-to-date data regarding the risk and benefits of non-opioid medications and highlight strategies to reduce opioid prescribing while presenting protocols that can be introduced into practice. Significant time will be devoted to question and answer as well as sharing tips and tricks to address perioperative pain in a safe manner.