40 patients scheduled for elective foot and ankle surgery were randomized to either receive or not receive postoperative written instructions regarding pain expectations, pain management, and disposal of prescribed but unused opioid medication. Patients were assessed for postoperative for satisfaction, the rate of prescription renewal, and disposal method of unused medication. Results demonstrated high satisfaction among the two groups. No patient of either group required prescription renewal, but data on disposal of medication was only obtained for two patients, both of whom were in the control group.