Raj Gupta (@dr_rajgupta) and Eric Schwenk (@ESchwenkMD) discuss the challenges and management strategies for patients on buprenorphine in the perioperative period. Our guests for this show are Eugene Viscusi (@EugeneViscusiMD) from the Jefferson University Hospitals in Philadelphia and Gary Schwartz (@garyschwartzmd) from Maimonides Medical Center and AABP LLC in Brooklyn NY. Recorded 09/29/2017.Selected ReferencesAnderson TA, Quaye ANA, Ward EN, Wilens TE, Hilliard PE, Brummett CM. To stop or not, that is the question: acute pain management for the patient on chronic buprenorphine. Anesthesiology. 2017;126:1180–6. https://doi.org/10.1097/ALN.0000000000001633Chen KY, Chen L, Mao J. Buprenorphine-naloxone therapy in pain management. Anesthesiology. 2014;120:1262–74.____Thanks to The Preps from Philadelphia, PA for the music: "The Grind (9 to 5)" and "Unknown Night". The band features Steve Breslin on vocals/guitars, Bryan Schwenk on guitars/vocals, Jeff Frederick on bass, and Eric Schwenk on drums.