Evidence demonstrates that surgeons over-prescribe opioids for postoperative pain leading to opioid misuse and diversion which contribute to the opioid epidemic. This panel will use a case-based format to discuss the recommendations recently published in the AAOHNS Clinical Practice Guideline: Opioid Prescribing for Analgesia After Common Otolaryngology Operations and how to apply them. Special attention will be given to areas where we should change our practices. The panel will discuss the practical clinical concerns and barriers that arise with implementation and seek to address questions and concerns of the audience. The panel is composed of authors of the Opioid CPG representing different sub-specialties within otolaryngology. Specific goals include Reduction of prescribed opioids, Increased pain management counseling, Increased use of non-opioid and multi-modal pain management, Identifying risks for Opioid Use Disorder (OUD), Strategies for patients at risk of OUD, and Increased disposal of unused opioids.