This study looks at ways to manage pain after orthopedic surgery without using opioids, which are strong pain medicines that can be addictive. The research team will see if their special pain plan works as well as opioids. Some patients will get opioids and others will get a placebo, which is a fake pill. The study checks pain levels, satisfaction, side effects, and any problems after surgery. It might help doctors know when opioids aren't needed and who might still need them.

Key Points:

• Participants must be over 18 and having certain surgeries like joint replacement or surgeries on fingers, hands, elbows, hips, knees, or feet.
• Participants cannot have used opioids recently, have serious health issues, or be unable to follow study rules.
• Participants will help find better pain methods for future surgeries.