Intraperitoneal Bupivacaine for Pelvic Organ Prolapse

4.1 Inclusion Criteria List the criteria: * Age \>= 18 years * Access to cell phone with text messaging capabilities (for same day surgery discharge) * Patients undergoing pelvic organ prolapse repair with peritoneal access 4.2 Exclusion Criteria List the criteria: * Bupivacaine allergy * History of epilepsy or other seizure disorder * EKG demonstrating asymptomatic sinus bradycardia \<40 bpm, symptomatic sinus bradycardia \<60 bpm, first degree AV block, second degree AV block, third degree AV block, prolonged QT, atrial fibrillation, supraventricular tachycardia, or myocardial infarction * Chronic liver disease proved by any ALT or AST elevation greater than 2x upper limit of normal * Serum bilirubin elevation in excess of 5 mg/dL * G6PD deficiency * Weight less than 100 lbs * Chronic opiate use