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. Regarding pediatric tonsillectomies, pain control can be challenging as 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 regarding codeine in pediatric populations, clinicians still will prescribe codeine to their 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 born out of a previous panel discussion on opioid management. Member feedback from that session requested more information regarding pediatric pain control. This session will provide an overview of the evidence of the harm opioids can cause in the pediatric population, provide data regarding the risk and benefits to use of non-opioid medications in this population specifically looking at use of NSAIDS, and finally, provide strategies to reduce opioid prescribing and 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.