Virtual Reality Pain Study

Inclusion Criteria: * • patients at least 18 years of age, * reported pain in last 24 hours ≥ 3 on the Numerical Rating Scales (NRS), * patients undergoing surgery, * expected hospital length of stay of at least 48 hours, * English fluency, * willing to comply with study procedures. * Hx opioid use Exclusion Criteria: * • gross cognitive impairment that would interfere with the ability to consent or complete study procedures * current or prior diagnosis of epilepsy, seizure disorder, dementia, or migraines, * hypersensitivity to flashing light or motion, * history of motion sickness or cyber sickness, * medical condition predisposing to or current nausea, vomiting or dizziness, * stereoscopic vision or severe hearing impairment, * injury to eyes, face or neck that impedes comfortable use of virtual reality, * cancer related pain, * PHQ-9 screen indicating suicidal ideation, patients will be referred to appropriate clinical intervention (see suicide protocol) * currently pregnant, * current or recent completion of participation in any interventional pain study (with in past 2 months) * substance abuse (alcohol or illegal drugs): Alcohol- NIAAA definition of heavy drinking as more than 4 drinks on any day or more than 14 drinks per week for men, more than 3 drinks on any day or more than 7 drinks per week for women. Any illegal drugs including marijuana