Multimodal pain management, combining analgesics with different mode of action 
in order to minimize occurrence of side-effects still providing safe and 
efficacious pain management after ambulatory surgery has become standard of 
care. The combined use of local anaesthesia in order to reduce noxious influx 
during the procedure and reduce postoperative pain is strongly recommended 
whenever feasible. Providing oral analgesics paracetamol, and none-steroid 
anti-inflammatory drugs or selective Cox-II-inhibitors already prior to 
induction in order to provide effective therapeutic concentrations at end of 
surgery is a simple and easy way to facilitate the recovery. Single iv. 
preoperative dose dexamethasone has been shown not only to be effective in 
reducing postoperative nausea and vomiting but also to improve recovery reduce 
pain and improve satisfaction. Pregabalin may be used in order to further 
enhance the recovery and pain management.