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tive pain management and safe opioid use practices must occur both before and after surgery. These are the first opioid-prescribing guidelines to address the unique needs of children who require surgery. Health care professionals caring for children and adolescents in the perioperative period should optimize pain management and minimize risks associated with opioid use by engaging patients and families in opioid stewardship efforts. These are the first opioid-prescribing guidelines to address the unique needs of children who require