Over the course of the past three years, ICSI has convened a group of Minnesota surgeons eager to develop a more patient-centered, procedure-specific approach to postoperative opioid prescriptions. One goal was to reduce the risk of addiction among postoperative patients while still providing effective pain management by creating recommendations that could a) reduce the variation among surgeons prescribing for identical procedures and b) provide evidence-based guidance for improving postoperative opioid prescribing practices across many different surgical procedures.