Degenerative joint disease affects much of the aging population making total hip arthroplasty (THA) and knee arthroplasty (TKA) two of the most prevalent procedures performed. The invasive nature of these procedures and the painful manifestation of degenerative joint disease is associated with opiate prescription. In an attempt to reduce the opiate consumption during TKA and THA we undertook a collaborative effort to improve our pathways for post-operative pain control. The aim of this investigation is to evaluate the effectiveness of our new multimodal pain control pathway.