A Dream of Acute Pain Service：Postoperative Pain Management in the Past, Present and Future

Our facility is a local base and teaching hospital and is designated as an advanced treatment hospital. In our department, we focus not only on perioperative management, but on pain clinics and palliative care as well, so we see and treat many types of pain including acute pain, chronic pain, and can-cer pain. Although there are many specialists who are familiar with perioperative management, pain clinic, palliative care and regional anesthesia, acute pain service（APS）had never been established in our facility until now. In this article, we review our activities related to postoperative pain management in the past, present and future. Furthermore, we present an outline of specialized and original APS, which is focused on total pain in our facility.