Thank you for this important question. There is less pain, in general, with a mini compared to a full tummy tuck. I still believe most patients benfit from a strong narcotic pain prescription. However, I prefer to use a multimodal approach to target pain receptors from different directions. My preferred method would be to employ a long lasting local anesthetic (Exparel) to reduce pain sensation significantly. This medication can reduce pain pill usage by 50%. Another strategy is for the patient to spend the first night at the surgery facility and treat any discomfort with small doses of fast acting IV narcotics (hydromorphone or morphine). Using a muscle relaxant will also assist in improving the pain experience. Another consideration is a short dose of a Cox-2 inhibitor which typically does not increase the bleeding risks and leads to reasonable pain control. Finally, demerol is an option, but has more side effects and is potentially more addictive than some other narcotics already mentioned. I certainly hope this helps, Dr. ALDO :)