Concern about anesthesia after Pain management for years for back. Why do I have to use new pain doctor?

I have performed cosmetic surgery many times on patients with chronic pain and have never had problems.  You should ask your plastic surgeon if you can speak to the anesthesiologist to find out what the issues might be for your particular situation. This will help put you at ease and clarify for you what needs to be done.  You should not have to see an entirely new pain management specialist in my opinion.

When I have patients on chronic pain medication (and there are lots of them like you) I prefer to have the pain doc regulate their pain meds.  Best to have just one doc in control there.  Rhinoplasties typically aren't too painful but you may need some extra Norco.  Not sure why he would recommend someone else other than your regular doc.  Askhim why.

Thank you for your question.  I think it is great that you trying to be proactive and anticipate your needs for postop pain. For the most part rhinoplasty is associated with minimal amount of pain. Frequently, I will send patients home on just tylenol. A rhinoplasty will not significantly alter your requirements of pain meds. I would meet with your pain management physician prior to surgery. It is probably best if you stick with the pain management doctor that you have had for several years as they have the best understanding of what works for you. Good luck with surgery.