Regional TAP Block for Bariatric Patients

Inclusion Criteria: 1. The patient must be 18 years of age or older and able to provide his or her own consent. 2. The patient is scheduled for bariatric surgery including laparoscopic gastric banding, sleeve gastrectomy, and gastric bypass. 3. The patient must be surgically and medically accepted for the procedure 4. Good functional status, ability to perform activities of daily living 5. The patients BMI \> 35, no upper limit 6. Signed study specific informed consent prior to enrollment Exclusion Criteria: 1. Patients with an allergy to local anesthetics 2. Patients diagnosed with peripheral neuropathies including diabetes mellitus. 3. Patients with BMI \<35 4. Patients with significant coronary artery disease 5. Patient refusal of block procedure. 6. Patients with chronic pain 7. Patients on pre-operative maintenance narcotics 8. American Society of Anesthesiologist classification system 4 (ASA 4) patients