This article describes an innovative workflow that incorporates the prescription drug monitoring program (PDMP) into a suggested workflow for managing pain in elective surgery patients. Using the PDMP and working with the patient's pain management provider, clinicians can make sure that patients on chronic opioid therapy are identified before admission so that their care can be individualized, a plan developed to manage postoperative pain, and the patient can be transitioned seamlessly back to outpatient pain management.