Thanks for the replies. I am seeing a hand specialist about this surgery. I don't have alot of pain right now, just from stiffness, etc. The RSD has gone into remission; seems like. I really don't want this to flare up again, but don't have a grip with my right hand and have trouble holding a pen. I think that I could compensate, eventually , but am concerned about "what if" down the road. I have the surgery scheduled for Aug 11, (day before my birthday) and it will be an outpatient procedure. I can still cancel it, but not sure if I should do it or not. I will have to ask my Dr about the ketamine, but he plans on me going home same day. It would be good to be able to talk to the other doctor (Dr. S) if I can. I live in Central Ohio; if that helps. Thanks and will check again later for more good advice. Thanks again to everyone. Suz