100 patients scheduled for arthroscopic anterior cruciate ligament (ACL) reconstruction were randomized to undergo the procedure with either 250 mmHg or 380 mmHg tourniquet pressure. The purpose of this study was to determine if increased tourniquet pressure was associated with increased postoperative pain and narcotic requirement. Results demonstrated that patients who underwent the procedure with a tourniquet pressure of 250 mmHg had significantly decreased pain scores, narcotic dosing and narcotic use frequency when compared to patients who underwent the procedure with 380 mmHg tourniquet pressure.