Please have an up front discussion with your surgeon and the anesthesiologist regarding this before surgery and also pre-op right before you go into surgery so his/her memory is jogged for when you are on the table and going into recovery. This would be considered acute-on-chronic pain and the pain medication protocols should be adjusted for someone who takes high levels of narcotics. The amount of pain medicine you may require while in surgery and in pacu and most certainly post op is generally much higher than the average "opiate naive" patient. Do not wait until after surgery and you are discharged home without adequate and appropriate pain prescriptions. It's a real bitch trying to get narcotics nowadays after hours since docs can no longer call those 10pm post op patients pain meds in to Walgreens and you can be darn sure they aren't gonna meet you at their office after hours to give you a personally signed script. We get lots of post surgical patients like that in the ED after hours for simple pain control that should have been better managed up-front. Don't be shy, I suggest starting out the conversation such as " doctor, I have some big concerns about how we will manage my post operativery pain after my xxxxyyyyzzz is repaired, especially as I have chronic pain which is managed by Dr so and so. He has prescribed fentanyl patches ??Mcg which adequately treats my chronic pain
What is your suggestion for additional control and breakthrough pain." Good luck and God Bless!

I'm sorry. There is hope. Mine is in JESUS. HE is my ROCK. HIS WORD is my strength.

Ohhh be very careful with those the withdrawal is horrible . Try the least amount of pain meds as possible. I was on fentanyl patch my advice is don't take them . I regretted it very much.

Yes, they should give you more paid meds. Just be sure to discuss it with you Dr before surgery. Good luck!

Tell your doctors before your surgery, they are familiar with the problem and will be conscious about your tolerance levels if they know before!!