Perhaps you might consider a referral to a pain specialist ASAP. My own personal opinion ......surgeons are not the best choice for managing post op pain. They really don't want that job anyhow as their waiting rooms tend to be filled with pre-op and immediately post op patients and don't have the time or room for the post op patients who will be dealing with ongoing issues while they heal. A pain specialist will be trained to sort out which medications will give you the best relief without causing problems per your history. It would be best to have a plan in place before the surgery. For that matter, if there have been medication issues in the hospital when you were immediately post op, you could request that your pain doc manage your pain while there. It is done every day. Best wishes.