• Pain as measured by the Condensed Memorial Symptom Assessment Scale (CMSAS)-Modified at baseline (pre-intervention) and prior to discharge from the Post Anesthesia Care Unit [ Designated as safety issue: Yes ]
  
• Nausea as measured by the CMSAS-Modified at baseline and prior to discharge from the Post Anesthesia Care Unit [ Designated as safety issue: Yes ]
  
• Vomiting as measured by the CMSAS-Modified at baseline and prior to discharge from the Post Anesthesia Care Unit [ Designated as safety issue: Yes ]
  
• Generalized distress as measured by the CMSAS-Modified at baseline and prior to discharge from the Post Anesthesia Care Unit [ Designated as safety issue: Yes ]
  
• Anxiety as measured by the CMSAS-Modified at baseline and prior to discharge from the Post Anesthesia Care Unit [ Designated as safety issue: Yes ]
  
• Surgical and anesthesia time [ Designated as safety issue: Yes ]
  
• Recovery time [ Designated as safety issue: Yes ]
  
• Medications [ Designated as safety issue: Yes ]
  
• Levels of consciousness [ Designated as safety issue: Yes ]
  
• Standard clinical measures of levels of anesthesia [ Designated as safety issue: Yes ]
  
• Significant surgical events [ Designated as safety issue: Yes ]
  
• Patient satisfaction [ Designated as safety issue: Yes ]
  

OBJECTIVES:

• To test the feasibility of hypnosis as a pre-operative intervention for the reduction of surgical- and anesthesia-related symptoms in women undergoing lumpectomy with sentinel node biopsy, mastectomy, or mastectomy with lymph node dissection for locally recurrent breast cancer.
• To identify the physical symptoms (i.e., pain, nausea, and vomiting) and psychological symptoms (i.e., anxiety and distress) of patients undergoing hypnosis.
• To determine the length of stay in the Post Anesthesia Care Unit of patients undergoing adjunct hypnosis.
• To describe patient satisfaction with the hypnosis experience.
• To determine the effect size and calculate the sample needed for a randomized clinical trial using the results of this study.

OUTLINE: Patients undergo a scripted hypnotic intervention over 15 minutes within 1 hour prior to their planned surgical procedure. Upon completion of the intervention, patients proceed to the Preoperative Holding Area of the Surgery and Post Anesthesia Care Unit where they receive the standard of care for lumpectomy with sentinel node biopsy, mastectomy, or mastectomy with lymph node dissection.

Patients undergo collection of demographic information (i.e., age; gender; ethnicity; marital/partnered status; spiritual practice; family members in the home; stress management history; experience with the continuum of imagery/hypnosis practices; perceptions of concentration abilities; and favorite aromas, colors, and scenes from nature) at the time of consent using the Demographic Survey Questionnaire. They also undergo assessment of physical and psychological symptoms (i.e., pain, nausea, vomiting, anxiety, and generalized distress) at baseline (immediately prior to hypnotic induction) and after the intervention (prior to discharge from the Post Anesthesia Care Unit).