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After surgery, most gastric bypass patients will use patient-controlled analgesia (PCA) to self-administer intravenous pain medication. The PCA machine will not allow you to overdose yourself. When you want to give yourself a dose of pain medication, you push a button. The recovery room nurses will set up the PCA pump and show you how to use it. Gastric banding patients generally will not require PCA pump for pain control. they will be given pain medication as needed.
PCA is a very effective way to control post-operative pain, but it will not take away all of your discomfort. You will be quite sore for the first day or two after surgery, but the soreness will rapidly decrease during the next few days.
Because you cannot go home with the PCA pump, oral pain medication will be started in the hospital and will be continued while at home.